Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.66 / $2.63	Facility		$1.31	$1.66	$2.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $403.66 / $1,843.31 / $3,528.06	Facility		$403.66	$1,843.31	$3,528.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.69 / $1,830.54	Facility		$1.59	$2.69	$1,830.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.00 / $21.62	Facility		$1.59	$2.00	$21.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $1.36 / $1.37	Facility		$1.36	$1.36	$1.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.99 / $1,843.31 / $3,528.06	Facility		$1,195.99	$1,843.31	$3,528.06
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00