Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.14 / $1,081.32 / $18,711.00	Facility		$394.14	$1,081.32	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $389.36 / $3,642.14 / $8,734.00	Facility		$389.36	$3,642.14	$8,734.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $344.10 / $653.08 / $935.36	Facility		$344.10	$653.08	$935.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $466.63 / $570.84 / $775.86	Facility		$466.63	$570.84	$775.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.36 / $389.36 / $393.20	Facility		$389.36	$389.36	$393.20
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $10,293.00	Facility		$497.00	$1,078.00	$10,293.00