Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.24 / $6,470.00 / $18,800.00	Facility		$671.24	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $502.83 / $25,035.29 / $55,801.25	Facility		$502.83	$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 $476.01 / $893.97 / $8,802.89	Facility		$476.01	$893.97	$8,802.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.50 / $708.59 / $754.80	Facility		$548.50	$708.59	$754.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.83 / $502.83 / $509.56	Facility		$502.83	$502.83	$509.56
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