Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.01 / $561.23 / $20,680.40	Facility		$241.01	$561.23	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $262.29 / $2,260.00	Facility		$55.00	$262.29	$2,260.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $415.71 / $533.53	Facility		$241.90	$415.71	$533.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $292.95 / $363.31 / $395.93	Facility		$292.95	$363.31	$395.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.29 / $262.29 / $263.69	Facility		$262.29	$262.29	$263.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,965.22 / $4,965.22 / $6,255.42	Facility		$4,965.22	$4,965.22	$6,255.42
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00