Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.50 / $7,863.94 / $20,680.40	Facility		$1,560.50	$7,863.94	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,674.32 / $11,128.70 / $28,793.26	Facility		$6,674.32	$11,128.70	$28,793.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,133.28 / $1,943.33 / $5,715.32	Facility		$1,133.28	$1,943.33	$5,715.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,253.02 / $1,624.45 / $1,742.84	Facility		$1,253.02	$1,624.45	$1,742.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.60 / $1,162.60 / $1,163.30	Facility		$1,162.60	$1,162.60	$1,163.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,216.46 / $10,881.75 / $21,287.95	Facility		$7,216.46	$10,881.75	$21,287.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00