Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.18 / $663.36 / $20,680.40	Facility		$289.18	$663.36	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $306.68 / $1,039.99	Facility		$55.00	$306.68	$1,039.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $483.57 / $587.29	Facility		$217.00	$483.57	$587.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.46 / $439.55 / $456.27	Facility		$329.46	$439.55	$456.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.68 / $306.68 / $311.22	Facility		$306.68	$306.68	$311.22
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