Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $101.52 / $494.10	Facility		$81.59	$101.52	$494.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $173.45 / $530.24	Facility		$134.09	$173.45	$530.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $162.76 / $242.45	Facility		$84.79	$162.76	$242.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.61 / $195.64 / $209.04	Facility		$141.61	$195.64	$209.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $134.09 / $142.58	Facility		$134.09	$134.09	$142.58