Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.91 / $4,484.91 / $20,680.40	Facility		$1,995.91	$4,484.91	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,133.28 / $5,897.00 / $10,870.26	Facility		$2,133.28	$5,897.00	$10,870.26
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $218.12 / $713.16 / $713.16	Facility	AS	$218.12	$713.16	$713.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,915.31 / $3,249.96 / $3,973.69	Facility		$1,915.31	$3,249.96	$3,973.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,244.60 / $3,034.13 / $3,127.56	Facility		$2,244.60	$3,034.13	$3,127.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,086.52 / $2,133.28 / $2,373.40	Facility		$2,086.52	$2,133.28	$2,373.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,737.37 / $8,737.37 / $12,537.31	Facility		$8,737.37	$8,737.37	$12,537.31
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00