Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.98 / $287.97 / $559.16	Facility		$215.98	$287.97	$559.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $267.89 / $388.35 / $934.03	Facility		$267.89	$388.35	$934.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $191.27 / $358.60 / $501.03	Facility		$191.27	$358.60	$501.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.70 / $404.05 / $414.06	Facility		$308.70	$404.05	$414.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.89 / $267.89 / $277.24	Facility		$267.89	$267.89	$277.24