Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.60 / $1,963.42 / $20,680.40	Facility		$952.60	$1,963.42	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,018.65 / $14,638.06 / $29,789.77	Facility		$1,018.65	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,041.27 / $1,679.83 / $9,172.67	Facility		$1,041.27	$1,679.83	$9,172.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,100.05 / $1,407.06 / $1,535.94	Facility		$1,100.05	$1,407.06	$1,535.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.65 / $1,018.65 / $1,021.52	Facility		$1,018.65	$1,018.65	$1,021.52
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