Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.28 / $77.98 / $120.49	Facility		$56.28	$77.98	$120.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $202.83 / $202.83	Facility		$61.24	$202.83	$202.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $61.03 / $108.40	Facility		$35.36	$61.03	$108.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.95 / $85.14 / $89.78	Facility		$63.95	$85.14	$89.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $60.70 / $61.24	Facility		$60.70	$60.70	$61.24