Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $91.71 / $121.33	Facility		$57.53	$91.71	$121.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $79.00 / $195.30	Facility		$58.44	$79.00	$195.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $76.30 / $112.33	Facility		$49.23	$76.30	$112.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $85.28 / $87.10	Facility		$62.02	$85.28	$87.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $58.44 / $58.50	Facility		$58.44	$58.44	$58.50