Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.35 / $2,027.25 / $20,680.40	Facility		$1,354.35	$2,027.25	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,298.75 / $15,599.20 / $31,745.76	Facility		$1,298.75	$15,599.20	$31,745.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $978.41 / $1,951.70 / $6,447.65	Facility		$978.41	$1,951.70	$6,447.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,086.91 / $1,575.13 / $1,930.27	Facility		$1,086.91	$1,575.13	$1,930.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.75 / $1,298.75 / $1,316.62	Facility		$1,298.75	$1,298.75	$1,316.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $11,261.00	Facility		$1,550.00	$4,818.00	$11,261.00