Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.14 / $2,631.14 / $20,680.40	Facility		$1,257.14	$2,631.14	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.64 / $14,638.06 / $29,789.77	Facility		$1,357.64	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,410.22 / $2,312.08 / $10,488.49	Facility		$1,410.22	$2,312.08	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,585.76 / $1,893.49 / $2,037.96	Facility		$1,585.76	$1,893.49	$2,037.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,357.64 / $1,357.64 / $1,378.77	Facility		$1,357.64	$1,357.64	$1,378.77
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