Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.14 / $718.22 / $20,680.40	Facility		$316.14	$718.22	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $247.79 / $1,315.64	Facility		$55.00	$247.79	$1,315.64
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $25.09 / $104.62 / $104.62	Facility	AS	$25.09	$104.62	$104.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $237.46 / $513.89 / $620.85	Facility		$237.46	$513.89	$620.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.72 / $364.48 / $504.39	Facility		$298.72	$364.48	$504.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.79 / $247.79 / $248.61	Facility		$247.79	$247.79	$248.61
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