Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $4,497.00 / $19,755.00	Facility		$150.36	$4,497.00	$19,755.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.63 / $4,535.97 / $8,681.78	Facility		$1,245.63	$4,535.97	$8,681.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.47 / $243.84 / $3,447.33	Facility		$126.47	$243.84	$3,447.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.35 / $172.19 / $251.37	Facility		$141.35	$172.19	$251.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.87 / $116.87 / $117.45	Facility		$116.87	$116.87	$117.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.73 / $4,535.97 / $8,681.78	Facility		$3,311.73	$4,535.97	$8,681.78
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