Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.73 / $676.90 / $20,680.40	Facility		$327.73	$676.90	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.58 / $1,844.36 / $3,528.06	Facility		$1,115.58	$1,844.36	$3,528.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $305.14 / $569.24 / $1,830.54	Facility		$305.14	$569.24	$1,830.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $455.24 / $491.64	Facility		$367.50	$455.24	$491.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.61 / $326.61 / $327.20	Facility		$326.61	$326.61	$327.20
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