Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.84 / $5,128.00 / $20,680.40	Facility		$859.84	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $626.95 / $6,060.52	Facility		$55.00	$626.95	$6,060.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $528.79 / $903.35 / $1,152.16	Facility		$528.79	$903.35	$1,152.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $641.78 / $838.84 / $940.01	Facility		$641.78	$838.84	$940.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.95 / $626.95 / $641.16	Facility		$626.95	$626.95	$641.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00