Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $119.43 / $432.70	Facility		$45.16	$119.43	$432.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $176.22 / $5,294.00	Facility		$34.72	$176.22	$5,294.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $117.10 / $408.55	Facility		$57.87	$117.10	$408.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.70 / $106.42 / $317.67	Facility		$41.70	$106.42	$317.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $34.72 / $176.22	Facility		$34.72	$34.72	$176.22
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