Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $18,800.00	Facility		$1,733.00	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $18,231.29 / $37,102.31	Facility		$5,897.00	$18,231.29	$37,102.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,243.61 / $2,220.33 / $7,779.83	Facility		$1,243.61	$2,220.33	$7,779.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.67 / $1,904.14 / $2,008.72	Facility		$1,412.67	$1,904.14	$2,008.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.16 / $1,355.92 / $2,096.73	Facility		$1,338.16	$1,355.92	$2,096.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00