Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.76 / $640.50 / $20,680.40	Facility		$293.76	$640.50	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $322.54 / $1,138.41	Facility		$55.00	$322.54	$1,138.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $469.85 / $578.48	Facility		$250.51	$469.85	$578.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $327.36 / $468.83 / $498.48	Facility		$327.36	$468.83	$498.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.54 / $322.54 / $340.01	Facility		$322.54	$322.54	$340.01
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