Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $18,800.00	Facility		$1,733.00	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,564.77 / $5,897.00 / $7,998.84	Facility		$1,564.77	$5,897.00	$7,998.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.99 / $2,344.92 / $2,865.14	Facility		$1,380.99	$2,344.92	$2,865.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,600.79 / $2,191.57 / $2,294.08	Facility		$1,600.79	$2,191.57	$2,294.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.84 / $1,564.77 / $2,096.73	Facility		$1,538.84	$1,564.77	$2,096.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,076.15 / $9,076.15 / $16,393.18	Facility		$9,076.15	$9,076.15	$16,393.18
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00