Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $56.23 / $86.99	Facility		$41.75	$56.23	$86.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $145.31 / $178.83	Facility		$43.42	$145.31	$178.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $48.07 / $81.09	Facility		$29.09	$48.07	$81.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $62.31 / $63.65	Facility		$45.57	$62.31	$63.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $43.04 / $43.42	Facility		$43.04	$43.04	$43.42