Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.30 / $1,031.30 / $20,680.40	Facility		$439.30	$1,031.30	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $489.69 / $4,157.80	Facility		$55.00	$489.69	$4,157.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $435.01 / $743.53 / $938.61	Facility		$435.01	$743.53	$938.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.59 / $682.08 / $739.01	Facility		$528.59	$682.08	$739.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.69 / $489.69 / $504.07	Facility		$489.69	$489.69	$504.07
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