Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.27 / $5,128.00 / $21,917.86	Facility		$1,401.27	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,913.50 / $38,781.51	Facility		$6,400.95	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,955.22 / $1,955.22	Facility	AS	$1,134.79	$1,955.22	$1,955.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $801.21 / $1,652.28 / $7,292.72	Facility		$801.21	$1,652.28	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,063.79 / $1,452.56 / $1,541.67	Facility		$1,063.79	$1,452.56	$1,541.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,020.16 / $1,051.56 / $8,762.25	Facility		$1,020.16	$1,051.56	$8,762.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00