Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $603.45 / $20,680.40	Facility		$265.58	$603.45	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $285.39 / $1,300.00	Facility		$55.00	$285.39	$1,300.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $28.98 / $102.75 / $102.75	Facility	AS	$28.98	$102.75	$102.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $255.36 / $445.87 / $597.42	Facility		$255.36	$445.87	$597.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $312.56 / $397.07 / $440.38	Facility		$312.56	$397.07	$440.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.39 / $285.39 / $287.45	Facility		$285.39	$285.39	$287.45
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00