Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.64 / $451.19 / $20,680.40	Facility		$193.64	$451.19	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $210.19 / $1,300.00	Facility		$55.00	$210.19	$1,300.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.18 / $332.05 / $403.26	Facility		$148.18	$332.05	$403.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $292.69 / $315.52	Facility		$230.79	$292.69	$315.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.19 / $210.19 / $211.59	Facility		$210.19	$210.19	$211.59
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