Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.15 / $420.70 / $20,680.40	Facility		$180.15	$420.70	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $196.15 / $1,300.00	Facility		$55.00	$196.15	$1,300.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $138.88 / $309.83 / $377.73	Facility		$138.88	$309.83	$377.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.08 / $264.16 / $294.80	Facility		$217.08	$264.16	$294.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $196.15 / $196.97	Facility		$196.15	$196.15	$196.97
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