Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.68 / $2,812.16 / $18,711.00	Facility		$192.68	$2,812.16	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $1,207.84 / $1,525.85	Facility		$144.47	$1,207.84	$1,525.85
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $17.82 / $48.29 / $48.29	Facility	AS	$17.82	$48.29	$48.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.14 / $236.44 / $371.15	Facility		$114.14	$236.44	$371.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.27 / $203.83 / $213.52	Facility		$154.27	$203.83	$213.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.24 / $142.24 / $144.41	Facility		$142.24	$142.24	$144.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,128.49 / $2,159.90	Facility		$732.19	$1,128.49	$2,159.90
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00