Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.52 / $806.13 / $20,680.40	Facility		$350.52	$806.13	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $376.44 / $3,499.98	Facility		$55.00	$376.44	$3,499.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $265.98 / $606.28 / $740.85	Facility		$265.98	$606.28	$740.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $404.56 / $525.54 / $559.45	Facility		$404.56	$525.54	$559.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.44 / $376.44 / $379.31	Facility		$376.44	$376.44	$379.31
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