Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.23 / $4,500.00 / $18,800.00	Facility		$547.23	$4,500.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $409.06 / $15,369.61 / $31,278.54	Facility		$409.06	$15,369.61	$31,278.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $374.32 / $674.99 / $8,759.23	Facility		$374.32	$674.99	$8,759.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.27 / $578.42 / $624.19	Facility		$442.27	$578.42	$624.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.06 / $409.06 / $415.41	Facility		$409.06	$409.06	$415.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00