Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.07 / $871.50 / $20,680.40	Facility		$384.07	$871.50	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $411.32 / $1,377.56	Facility		$55.00	$411.32	$1,377.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.30 / $642.35 / $773.50	Facility		$288.30	$642.35	$773.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $434.60 / $577.61 / $607.69	Facility		$434.60	$577.61	$607.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $411.32 / $414.50	Facility		$411.32	$411.32	$414.50
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