Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.74 / $666.90 / $20,680.40	Facility		$293.74	$666.90	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $313.48 / $2,931.61	Facility		$55.00	$313.48	$2,931.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $236.53 / $506.76 / $672.88	Facility		$236.53	$506.76	$672.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $334.79 / $440.14 / $464.98	Facility		$334.79	$440.14	$464.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.48 / $313.48 / $317.16	Facility		$313.48	$313.48	$317.16
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