Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.11 / $4,414.79 / $18,711.00	Facility		$237.11	$4,414.79	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $176.67 / $594.91	Facility		$55.00	$176.67	$594.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $279.72 / $343.98	Facility		$160.41	$279.72	$343.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.60 / $248.64 / $261.30	Facility		$171.60	$248.64	$261.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $176.67 / $178.23	Facility		$176.67	$176.67	$178.23
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00