Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.85 / $5,128.00 / $20,680.40	Facility		$1,474.85	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,596.37 / $14,638.06 / $29,789.77	Facility		$1,596.37	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,665.76 / $2,697.29 / $10,488.49	Facility		$1,665.76	$2,697.29	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,871.80 / $2,223.73 / $2,473.75	Facility		$1,871.80	$2,223.73	$2,473.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,596.37 / $1,596.37 / $1,599.50	Facility		$1,596.37	$1,596.37	$1,599.50
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