Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.50 / $2,458.85 / $27,982.24	Facility		$1,167.50	$2,458.85	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.15 / $14,638.06 / $29,789.77	Facility		$1,261.15	$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 $1,317.30 / $2,157.34 / $10,488.49	Facility		$1,317.30	$2,157.34	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,385.23 / $1,757.01 / $1,897.44	Facility		$1,385.23	$1,757.01	$1,897.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,261.15 / $1,261.15 / $1,270.92	Facility		$1,261.15	$1,261.15	$1,270.92
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