Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $169.48 / $271.22	Facility		$131.90	$169.48	$271.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $181.02 / $1,060.00	Facility		$130.46	$181.02	$1,060.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $203.00 / $270.85	Facility		$94.86	$203.00	$270.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $187.80 / $198.25	Facility		$147.77	$187.80	$198.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $130.46 / $130.69	Facility		$130.46	$130.46	$130.69
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00