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 / $20,680.40	Facility		$1,733.00	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $15,555.67 / $31,745.76	Facility		$2,000.00	$15,555.67	$31,745.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,339.38 / $2,418.09 / $6,447.65	Facility		$1,339.38	$2,418.09	$6,447.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,582.21 / $2,075.92 / $2,162.40	Facility		$1,582.21	$2,075.92	$2,162.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.54 / $1,472.45 / $2,513.62	Facility		$1,440.54	$1,472.45	$2,513.62
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 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00