Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.73 / $1,074.38 / $20,680.40	Facility		$529.73	$1,074.38	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $567.61 / $5,283.85	Facility		$55.00	$567.61	$5,283.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $399.59 / $867.45 / $1,015.73	Facility		$399.59	$867.45	$1,015.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.97 / $792.71 / $837.50	Facility		$613.97	$792.71	$837.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.61 / $567.61 / $571.25	Facility		$567.61	$567.61	$571.25
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