Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.31 / $626.91 / $14,464.32	Facility		$217.31	$626.91	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $469.65 / $1,787.86 / $3,066.24	Facility		$469.65	$1,787.86	$3,066.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $341.76 / $730.67	Facility		$176.00	$341.76	$730.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $249.85 / $476.37 / $517.24	Facility		$249.85	$476.37	$517.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.80 / $352.80 / $361.49	Facility		$352.80	$352.80	$361.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,655.68 / $2,269.03 / $4,340.41	Facility		$1,655.68	$2,269.03	$4,340.41
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,106.00 / $4,911.00	Facility		$648.00	$1,106.00	$4,911.00