Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.32 / $446.83 / $603.54	Facility		$278.32	$446.83	$603.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $281.51 / $930.99	Facility		$55.00	$281.51	$930.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $253.68 / $445.15 / $567.03	Facility		$253.68	$445.15	$567.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.68 / $392.74 / $422.28	Facility		$309.68	$392.74	$422.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.51 / $281.51 / $283.13	Facility		$281.51	$281.51	$283.13
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