Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.06 / $2,551.32 / $20,680.40	Facility		$1,207.06	$2,551.32	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.03 / $14,638.06 / $29,789.77	Facility		$1,296.03	$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 $1,354.20 / $2,168.86 / $9,129.27	Facility		$1,354.20	$2,168.86	$9,129.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,417.05 / $1,799.26 / $1,967.12	Facility		$1,417.05	$1,799.26	$1,967.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.03 / $1,296.03 / $1,301.99	Facility		$1,296.03	$1,296.03	$1,301.99
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 $12,579.00 / $19,333.91 / $31,511.89	Facility		$12,579.00	$19,333.91	$31,511.89