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 $1,241.22 / $14,638.06 / $29,789.77	Facility		$1,241.22	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,281.77 / $2,098.08 / $11,338.03	Facility		$1,281.77	$2,098.08	$11,338.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,418.29 / $1,719.76 / $1,863.20	Facility		$1,418.29	$1,719.76	$1,863.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,241.22 / $1,241.22 / $1,243.04	Facility		$1,241.22	$1,241.22	$1,243.04
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