Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.63 / $5,116.62 / $20,680.40	Facility		$1,131.63	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.55 / $8,490.57 / $17,279.07	Facility		$1,117.55	$8,490.57	$17,279.07
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $428.90 / $757.42 / $757.42	Facility	AS	$428.90	$757.42	$757.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $863.46 / $1,696.33 / $8,977.36	Facility		$863.46	$1,696.33	$8,977.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $750.72 / $1,578.21 / $1,677.56	Facility		$750.72	$1,578.21	$1,677.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.55 / $1,117.55 / $1,133.35	Facility		$1,117.55	$1,117.55	$1,133.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,255.42 / $9,027.82 / $17,279.07	Facility		$6,255.42	$9,027.82	$17,279.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00