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 $1,149.26 / $14,638.06 / $29,789.77	Facility		$1,149.26	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,178.36 / $1,915.35 / $11,338.03	Facility		$1,178.36	$1,915.35	$11,338.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,261.03 / $1,615.20 / $1,725.16	Facility		$1,261.03	$1,615.20	$1,725.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.26 / $1,149.26 / $1,163.52	Facility		$1,149.26	$1,149.26	$1,163.52
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 $12,579.00 / $19,333.91 / $31,511.89	Facility		$12,579.00	$19,333.91	$31,511.89