Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.92 / $4,356.20 / $17,100.00	Facility		$630.92	$4,356.20	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,409.90 / $12,105.45 / $21,044.73	Facility		$2,409.90	$12,105.45	$21,044.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $519.00 / $2,680.51 / $6,272.80	Facility		$519.00	$2,680.51	$6,272.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $877.16 / $3,782.58 / $4,314.80	Facility		$877.16	$3,782.58	$4,314.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,697.21 / $2,697.21 / $2,822.64	Facility		$2,697.21	$2,697.21	$2,822.64
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 / $5,851.00 / $20,708.00	Facility		$3,028.00	$5,851.00	$20,708.00