Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.33 / $4,011.00 / $18,711.00	Facility		$1,189.33	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,986.86 / $9,172.83 / $17,546.59	Facility		$2,986.86	$9,172.83	$17,546.59
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 $856.95 / $1,748.71 / $3,280.24	Facility		$856.95	$1,748.71	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,113.77 / $1,523.58 / $1,701.80	Facility		$1,113.77	$1,523.58	$1,701.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,145.64 / $2,961.46	Facility		$986.25	$1,145.64	$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