Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.01 / $431.51 / $20,680.40	Facility		$185.01	$431.51	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $201.13 / $1,300.00	Facility		$55.00	$201.13	$1,300.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $20.36 / $67.06 / $67.06	Facility	AS	$20.36	$67.06	$67.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $318.27 / $386.53	Facility		$142.29	$318.27	$386.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $228.14 / $278.08 / $304.18	Facility		$228.14	$278.08	$304.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.13 / $201.13 / $201.99	Facility		$201.13	$201.13	$201.99
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