Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.45 / $5,128.00 / $22,024.00	Facility		$1,170.45	$5,128.00	$22,024.00
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 $894.79 / $1,820.53 / $3,280.24	Facility		$894.79	$1,820.53	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,163.75 / $1,589.24 / $1,772.82	Facility		$1,163.75	$1,589.24	$1,772.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,194.10 / $2,961.46	Facility		$986.25	$1,194.10	$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