Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.65 / $239.72 / $14,464.32	Facility		$122.65	$239.72	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $1,673.37 / $3,405.45	Facility		$127.29	$1,673.37	$3,405.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.35 / $166.88 / $552.04	Facility		$88.35	$166.88	$552.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $177.16 / $190.28	Facility		$126.72	$177.16	$190.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $127.29 / $129.79	Facility		$127.29	$127.29	$129.79
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