Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $2,769.52 / $18,711.00	Facility		$59.90	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $55.00 / $1,300.00	Facility		$43.94	$55.00	$1,300.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $70.31 / $85.40	Facility		$31.62	$70.31	$85.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.48 / $63.22 / $66.93	Facility		$47.48	$63.22	$66.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $43.94 / $45.24	Facility		$43.94	$43.94	$45.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,743.00 / $37,152.00	Facility		$4,252.00	$25,743.00	$37,152.00