Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.28 / $2,379.44 / $20,680.40	Facility		$1,135.28	$2,379.44	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,225.36 / $14,638.06 / $29,789.77	Facility		$1,225.36	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,279.49 / $2,079.96 / $10,488.49	Facility		$1,279.49	$2,079.96	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,359.26 / $1,706.24 / $1,867.80	Facility		$1,359.26	$1,706.24	$1,867.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.36 / $1,225.36 / $1,233.44	Facility		$1,225.36	$1,225.36	$1,233.44
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