Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.34 / $4,500.00 / $22,024.00	Facility		$579.34	$4,500.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $614.72 / $3,635.24	Facility		$55.00	$614.72	$3,635.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $530.07 / $905.52 / $1,118.86	Facility		$530.07	$905.52	$1,118.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $596.64 / $852.91 / $908.52	Facility		$596.64	$852.91	$908.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.72 / $614.72 / $619.69	Facility		$614.72	$614.72	$619.69
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