Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.38 / $999.27 / $20,680.40	Facility		$436.38	$999.27	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $470.21 / $3,568.41	Facility		$55.00	$470.21	$3,568.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.39 / $738.05 / $896.34	Facility		$331.39	$738.05	$896.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.27 / $654.21 / $705.84	Facility		$509.27	$654.21	$705.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.21 / $470.21 / $471.62	Facility		$470.21	$470.21	$471.62
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