Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.05 / $717.74 / $12,775.72	Facility		$213.05	$717.74	$12,775.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,318.00 / $6,318.00 / $6,318.00	Facility	50	$6,318.00	$6,318.00	$6,318.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.88 / $178.32 / $897.15	Professional	50	$98.88	$178.32	$897.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $546.48 / $546.48	Facility		$55.00	$546.48	$546.48
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,315.10 / $1,315.10 / $1,315.10	Facility	50	$1,315.10	$1,315.10	$1,315.10
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $271.27 / $401.30 / $705.63	Professional	50	$271.27	$401.30	$705.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.05 / $294.08 / $643.64	Facility		$145.05	$294.08	$643.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $285.82 / $468.41 / $487.76	Facility		$285.82	$468.41	$487.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $332.70	Facility		$319.37	$319.37	$332.70
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00