Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $74.28 / $89.87	Facility		$74.28	$74.28	$89.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $173.91 / $466.08	Facility		$133.66	$173.91	$466.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $128.08 / $239.05	Facility		$89.70	$128.08	$239.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $181.81 / $189.04	Facility		$137.69	$181.81	$189.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $125.93 / $127.05	Facility		$125.93	$125.93	$127.05