Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.15 / $6,470.00 / $27,982.24	Facility		$169.15	$6,470.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $15,816.20 / $26,542.00	Facility		$127.50	$15,816.20	$26,542.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $190.51 / $246.61	Facility		$115.01	$190.51	$246.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.24 / $176.93 / $187.00	Facility		$135.24	$176.93	$187.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.39 / $126.39 / $127.50	Facility		$126.39	$126.39	$127.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,539.13 / $10,539.13 / $13,277.70	Facility		$10,539.13	$10,539.13	$13,277.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00