Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.66 / $5,132.00 / $20,680.40	Facility		$1,177.66	$5,132.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,253.90 / $14,638.06 / $29,789.77	Facility		$1,253.90	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,290.88 / $2,079.96 / $9,172.67	Facility		$1,290.88	$2,079.96	$9,172.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,338.19 / $1,736.76 / $1,908.90	Facility		$1,338.19	$1,736.76	$1,908.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,253.90 / $1,253.90 / $1,257.66	Facility		$1,253.90	$1,253.90	$1,257.66
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