Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.10 / $4,500.00 / $20,680.40	Facility		$1,082.10	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $674.66 / $1,359.93 / $3,280.24	Facility		$674.66	$1,359.93	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $859.99 / $1,189.25 / $1,272.33	Facility		$859.99	$1,189.25	$1,272.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.69 / $867.84 / $2,961.46	Facility		$836.69	$867.84	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,492.00 / $11,941.00	Facility		$1,950.00	$3,492.00	$11,941.00