Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.26 / $666.23 / $20,680.40	Facility		$288.26	$666.23	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $313.02 / $1,300.00	Facility		$55.00	$313.02	$1,300.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $491.55 / $596.97	Facility		$219.48	$491.55	$596.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $430.36 / $469.67	Facility		$343.00	$430.36	$469.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.02 / $313.02 / $313.05	Facility		$313.02	$313.02	$313.05
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