Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.20 / $2,769.52 / $18,711.00	Facility		$335.20	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $253.23 / $1,300.00	Facility		$55.00	$253.23	$1,300.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $224.27 / $383.62 / $484.27	Facility		$224.27	$383.62	$484.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.36 / $349.78 / $378.76	Facility		$276.36	$349.78	$378.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.23 / $253.23 / $258.20	Facility		$253.23	$253.23	$258.20
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00