Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.99 / $5,132.00 / $20,680.40	Facility		$324.99	$5,132.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $237.37 / $4,348.10 / $8,407.56	Facility		$237.37	$4,348.10	$8,407.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.10 / $361.12 / $4,178.28	Facility		$207.10	$361.12	$4,178.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.39 / $323.61 / $354.43	Facility		$221.39	$323.61	$354.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.37 / $241.75 / $726.24	Facility		$237.37	$241.75	$726.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,256.00 / $4,350.13 / $8,407.56	Facility		$3,256.00	$4,350.13	$8,407.56
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00