Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $214.67 / $14,464.32	Facility		$109.28	$214.67	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $1,673.37 / $3,405.45	Facility		$112.80	$1,673.37	$3,405.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $150.19 / $552.04	Facility		$79.36	$150.19	$552.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.92 / $158.88 / $170.18	Facility		$113.92	$158.88	$170.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $112.80 / $116.08	Facility		$112.80	$112.80	$116.08
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 $548.60 / $591.00 / $4,611.00	Facility		$548.60	$591.00	$4,611.00