Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.16 / $1,699.19 / $20,680.40	Facility		$744.16	$1,699.19	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $798.64 / $14,638.06 / $29,789.77	Facility		$798.64	$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 $828.09 / $1,348.23 / $10,488.49	Facility		$828.09	$1,348.23	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $916.40 / $1,106.96 / $1,236.88	Facility		$916.40	$1,106.96	$1,236.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $798.64 / $798.64 / $798.84	Facility		$798.64	$798.64	$798.84
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