Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.04 / $3,925.18 / $18,711.00	Facility		$552.04	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $8,576.15 / $17,453.22	Facility		$408.61	$8,576.15	$17,453.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $460.50 / $768.30 / $6,447.65	Facility		$460.50	$768.30	$6,447.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $595.63 / $767.82	Facility		$498.14	$595.63	$767.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $414.50 / $1,140.42	Facility		$408.61	$414.50	$1,140.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00