Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.59 / $2,592.26 / $20,680.40	Facility		$1,244.59	$2,592.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,343.60 / $14,638.06 / $29,789.77	Facility		$1,343.60	$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 $1,368.77 / $2,229.77 / $11,338.03	Facility		$1,368.77	$2,229.77	$11,338.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,427.82 / $1,870.91 / $2,016.88	Facility		$1,427.82	$1,870.91	$2,016.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,343.60 / $1,343.60 / $1,356.38	Facility		$1,343.60	$1,343.60	$1,356.38
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