Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $131.19 / $532.66	Facility		$41.45	$131.19	$532.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $81.09 / $104.46	Facility		$46.09	$81.09	$104.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.24 / $65.52 / $160.75	Facility		$39.24	$65.52	$160.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.55 / $99.83 / $111.22	Facility		$42.55	$99.83	$111.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $81.09	Facility		$75.86	$75.86	$81.09