Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $1,337.35 / $17,100.00	Facility		$220.02	$1,337.35	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $989.72 / $1,798.77	Facility		$55.00	$989.72	$1,798.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.26 / $435.86 / $1,306.03	Facility		$171.26	$435.86	$1,306.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $268.70 / $972.17 / $1,090.76	Facility		$268.70	$972.17	$1,090.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $744.00 / $780.07	Facility		$744.00	$744.00	$780.07
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00