Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.15 / $2,663.00 / $18,711.00	Facility		$57.15	$2,663.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $2,222.83 / $3,500.05	Facility		$215.20	$2,222.83	$3,500.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.47 / $160.71 / $357.78	Facility		$79.47	$160.71	$357.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $243.21 / $263.31	Facility		$148.76	$243.21	$263.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.95 / $173.95 / $179.60	Facility		$173.95	$173.95	$179.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,679.53 / $2,590.05 / $4,954.47	Facility		$1,679.53	$2,590.05	$4,954.47