Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.32 / $2,769.52 / $18,711.00	Facility		$120.32	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $4,521.04 / $9,200.71	Facility		$88.79	$4,521.04	$9,200.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.97 / $160.75 / $2,788.16	Facility		$88.97	$160.75	$2,788.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $130.65 / $134.66	Facility		$97.38	$130.65	$134.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $89.12 / $676.20	Facility		$88.79	$89.12	$676.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,118.98 / $4,807.10 / $9,200.71	Facility		$3,118.98	$4,807.10	$9,200.71
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00