Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.18 / $966.08 / $20,680.40	Facility		$426.18	$966.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $454.81 / $1,527.46	Facility		$55.00	$454.81	$1,527.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $320.85 / $715.57 / $848.12	Facility		$320.85	$715.57	$848.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.56 / $639.46 / $672.68	Facility		$482.56	$639.46	$672.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.81 / $454.81 / $458.83	Facility		$454.81	$454.81	$458.83
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