Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,128.00 / $18,800.00	Facility		$801.00	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $14,638.06 / $29,789.77	Facility		$2,000.00	$14,638.06	$29,789.77
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $744.38 / $1,314.53 / $1,314.53	Facility	AS	$744.38	$1,314.53	$1,314.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $827.64 / $1,349.06 / $10,488.49	Facility		$827.64	$1,349.06	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $871.22 / $1,109.59 / $1,192.72	Facility		$871.22	$1,109.59	$1,192.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.56 / $794.56 / $799.75	Facility		$794.56	$794.56	$799.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00