Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,128.00 / $21,917.86	Facility		$988.00	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $20,286.13	Facility		$3,478.12	$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 $781.53 / $1,574.22 / $3,280.24	Facility		$781.53	$1,574.22	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,004.01 / $1,378.86 / $1,463.28	Facility		$1,004.01	$1,378.86	$1,463.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.44 / $986.25 / $2,961.46	Facility		$964.44	$986.25	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00