Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.60 / $6,470.00 / $18,711.00	Facility		$1,121.60	$6,470.00	$18,711.00
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 $791.70 / $1,629.58 / $3,280.24	Facility		$791.70	$1,629.58	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,034.88 / $1,419.06 / $1,599.36	Facility		$1,034.88	$1,419.06	$1,599.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,079.05 / $2,961.46	Facility		$986.25	$1,079.05	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $9,167.59 / $17,546.59	Facility		$6,013.44	$9,167.59	$17,546.59
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