Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.87 / $1,282.90 / $14,464.32	Facility		$271.87	$1,282.90	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,022.40 / $1,811.52	Facility		$55.00	$1,022.40	$1,811.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $209.28 / $473.68 / $1,299.97	Facility		$209.28	$473.68	$1,299.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.14 / $955.51 / $1,059.27	Facility		$316.14	$955.51	$1,059.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $760.13	Facility		$722.52	$722.52	$760.13
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00