Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.86 / $877.66 / $27,982.24	Facility		$374.86	$877.66	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $417.67 / $3,547.90	Facility		$55.00	$417.67	$3,547.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.87 / $633.20 / $796.85	Facility		$371.87	$633.20	$796.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.88 / $581.88 / $630.47	Facility		$456.88	$581.88	$630.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.67 / $417.67 / $430.04	Facility		$417.67	$417.67	$430.04
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