Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.10 / $438.44 / $20,680.40	Facility		$203.10	$438.44	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $207.93 / $691.80	Facility		$55.00	$207.93	$691.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $324.07 / $410.08	Facility		$186.90	$324.07	$410.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.93 / $288.39 / $310.76	Facility		$223.93	$288.39	$310.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.93 / $207.93 / $209.31	Facility		$207.93	$207.93	$209.31
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00