Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.20 / $7,489.85 / $20,486.25	Facility		$456.20	$7,489.85	$20,486.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $15,369.61 / $31,278.54	Facility		$339.75	$15,369.61	$31,278.54
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 $328.00 / $615.41 / $8,802.89	Facility		$328.00	$615.41	$8,802.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $373.36 / $481.23 / $526.04	Facility		$373.36	$481.23	$526.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $339.75 / $345.04	Facility		$339.75	$339.75	$345.04
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 $10,312.00 / $20,867.06 / $33,377.36	Facility		$10,312.00	$20,867.06	$33,377.36