Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.91 / $6,470.00 / $22,024.00	Facility		$225.91	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $171.23 / $1,300.00	Facility		$55.00	$171.23	$1,300.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $276.76 / $659.17	Facility		$158.72	$276.76	$659.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.58 / $252.59 / $533.99	Facility		$206.58	$252.59	$533.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.23 / $171.23 / $172.29	Facility		$171.23	$171.23	$172.29
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