Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.86 / $658.28 / $17,100.00	Facility		$136.86	$658.28	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $1,673.37 / $3,405.45	Facility		$287.80	$1,673.37	$3,405.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.53 / $347.09 / $691.91	Facility		$121.53	$347.09	$691.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $464.31 / $531.30	Facility		$166.38	$464.31	$531.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $345.49 / $358.78	Facility		$287.80	$345.49	$358.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,200.26 / $1,780.27 / $3,405.45	Facility		$1,200.26	$1,780.27	$3,405.45
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00