Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.56 / $2,064.40 / $17,930.00	Facility		$279.56	$2,064.40	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $316.70 / $1,055.15	Facility		$55.00	$316.70	$1,055.15
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $31.61 / $105.52 / $105.52	Facility	AS	$31.61	$105.52	$105.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.16 / $485.75 / $602.47	Facility		$277.16	$485.75	$602.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.45 / $433.18 / $464.31	Facility		$345.45	$433.18	$464.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.31 / $310.31 / $316.70	Facility		$310.31	$310.31	$316.70
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00