Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $57.19 / $790.85	Facility		$31.57	$57.19	$790.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $364.30 / $1,129.34 / $2,161.55	Facility		$364.30	$1,129.34	$2,161.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $101.23 / $997.52	Facility		$48.98	$101.23	$997.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $645.24 / $724.27	Facility		$49.58	$645.24	$724.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.30 / $364.30 / $512.79	Facility		$364.30	$364.30	$512.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
United Facility/Professional Facility Modifier Low / Median / High Price $337.05 / $337.05 / $337.05	Facility		$337.05	$337.05	$337.05