Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.20 / $5,128.00 / $18,711.00	Facility		$265.20	$5,128.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $217.99 / $5,421.59 / $26,542.00	Facility		$217.99	$5,421.59	$26,542.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $324.08 / $423.15	Facility		$190.65	$324.08	$423.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $301.98 / $319.60	Facility		$231.28	$301.98	$319.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.08 / $216.08 / $217.99	Facility		$216.08	$216.08	$217.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,303.37 / $4,303.37 / $5,421.59	Facility		$4,303.37	$4,303.37	$5,421.59
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00