Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.79 / $878.40 / $2,922.49	Facility		$310.79	$878.40	$2,922.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $421.29 / $1,074.83 / $1,472.94	Facility		$421.29	$1,074.83	$1,472.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $297.25 / $598.59 / $867.10	Facility		$297.25	$598.59	$867.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $483.36 / $611.04 / $638.51	Facility		$483.36	$611.04	$638.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.29 / $421.29 / $435.52	Facility		$421.29	$421.29	$435.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $429.66 / $429.66 / $429.66	Facility		$429.66	$429.66	$429.66