Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $5,128.00 / $23,000.00	Facility		$1,296.00	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,332.27 / $14,638.06 / $29,789.77	Facility		$1,332.27	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.28 / $2,193.34 / $9,172.67	Facility		$1,348.28	$2,193.34	$9,172.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,394.39 / $1,895.29 / $1,999.88	Facility		$1,394.39	$1,895.29	$1,999.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.27 / $1,332.27 / $1,345.41	Facility		$1,332.27	$1,332.27	$1,345.41
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