Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $30.73 / $106.59	Facility		$15.03	$30.73	$106.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $317.97 / $1,234.18 / $2,065.41	Facility		$317.97	$1,234.18	$2,065.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $41.54 / $493.48	Facility		$17.50	$41.54	$493.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $21.58 / $79.73	Facility		$18.13	$21.58	$79.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $14.95 / $15.08	Facility		$14.95	$14.95	$15.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,136.52 / $1,563.38 / $2,990.57	Facility		$1,136.52	$1,563.38	$2,990.57