Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.19 / $4,414.79 / $18,711.00	Facility		$514.19	$4,414.79	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $392.11 / $1,303.38	Facility		$55.00	$392.11	$1,303.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $362.86 / $619.87 / $778.05	Facility		$362.86	$619.87	$778.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.42 / $540.87 / $581.55	Facility		$377.42	$540.87	$581.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.49 / $390.49 / $392.11	Facility		$390.49	$390.49	$392.11
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