Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $5,132.00 / $20,680.40	Facility		$1,125.00	$5,132.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.31 / $14,638.06 / $29,789.77	Facility		$1,187.31	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,222.56 / $2,000.95 / $9,172.67	Facility		$1,222.56	$2,000.95	$9,172.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,325.40 / $1,683.84 / $1,786.84	Facility		$1,325.40	$1,683.84	$1,786.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.31 / $1,187.31 / $1,205.57	Facility		$1,187.31	$1,187.31	$1,205.57
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