Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.14 / $534.79 / $20,680.40	Facility		$237.14	$534.79	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $254.59 / $855.32	Facility		$55.00	$254.59	$855.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.04 / $380.83 / $480.75	Facility		$223.04	$380.83	$480.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.42 / $357.23 / $377.21	Facility		$273.42	$357.23	$377.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $254.59 / $257.29	Facility		$254.59	$254.59	$257.29
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