Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.12 / $7,920.26 / $22,024.00	Facility		$305.12	$7,920.26	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $306.48 / $1,951.39	Facility		$55.00	$306.48	$1,951.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $515.04 / $633.36	Facility		$295.38	$515.04	$633.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.02 / $459.84 / $485.75	Facility		$318.02	$459.84	$485.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.07 / $327.07 / $331.33	Facility		$327.07	$327.07	$331.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00