Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.08 / $5,116.62 / $18,800.00	Facility		$547.08	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $25,035.29 / $55,801.25	Facility		$408.61	$25,035.29	$55,801.25
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $724.51 / $1,279.44 / $1,279.44	Facility	AS	$724.51	$1,279.44	$1,279.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $387.04 / $729.02 / $8,802.89	Facility		$387.04	$729.02	$8,802.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.02 / $577.54 / $631.54	Facility		$440.02	$577.54	$631.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $408.61 / $414.50	Facility		$408.61	$408.61	$414.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,479.97 / $27,419.55 / $55,801.25	Facility		$12,479.97	$27,419.55	$55,801.25
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