Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.45 / $7,920.26 / $22,024.00	Facility		$282.45	$7,920.26	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $281.06 / $1,680.42	Facility		$55.00	$281.06	$1,680.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $273.31 / $466.90 / $586.04	Facility		$273.31	$466.90	$586.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $398.81 / $440.19	Facility		$270.12	$398.81	$440.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.06 / $281.06 / $285.83	Facility		$281.06	$281.06	$285.83
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