Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,856.22 / $5,707.10 / $20,680.40	Facility		$2,856.22	$5,707.10	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,047.33 / $53,990.16	Facility		$55.00	$3,047.33	$53,990.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,107.07 / $4,679.14 / $5,682.74	Facility		$2,107.07	$4,679.14	$5,682.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,178.80 / $4,264.37 / $4,484.97	Facility		$3,178.80	$4,264.37	$4,484.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,047.33 / $3,047.33 / $3,059.16	Facility		$3,047.33	$3,047.33	$3,059.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,531.99 / $3,531.99 / $3,767.46	Facility		$3,531.99	$3,531.99	$3,767.46
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