Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,401.09 / $4,816.57 / $20,680.40	Facility		$2,401.09	$4,816.57	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,563.07 / $45,565.59	Facility		$55.00	$2,563.07	$45,565.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,776.30 / $3,944.72 / $4,790.80	Facility		$1,776.30	$3,944.72	$4,790.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,682.68 / $3,599.61 / $3,784.16	Facility		$2,682.68	$3,599.61	$3,784.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,563.07 / $2,563.07 / $2,581.14	Facility		$2,563.07	$2,563.07	$2,581.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,980.74 / $2,980.74 / $3,179.46	Facility		$2,980.74	$2,980.74	$3,179.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00