Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.09 / $506.56 / $20,680.40	Facility		$226.09	$506.56	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $241.00 / $812.92	Facility		$55.00	$241.00	$812.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $206.64 / $374.10 / $454.33	Facility		$206.64	$374.10	$454.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.76 / $339.50 / $357.11	Facility		$256.76	$339.50	$357.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $241.00 / $243.58	Facility		$241.00	$241.00	$243.58
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $1,612.00 / $5,793.00	Facility		$703.00	$1,612.00	$5,793.00