Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.63 / $2,769.52 / $18,711.00	Facility		$137.63	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $100.57 / $336.07	Facility		$55.00	$100.57	$336.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $154.41 / $205.04	Facility		$90.39	$154.41	$205.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.17 / $144.05 / $150.08	Facility		$104.17	$144.05	$150.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $100.57 / $101.45	Facility		$100.57	$100.57	$101.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,632.10 / $3,632.10 / $4,575.89	Facility		$3,632.10	$3,632.10	$4,575.89
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00