Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.84 / $2,769.52 / $18,711.00	Facility		$106.84	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $1,128.49 / $2,159.90	Facility		$78.81	$1,128.49	$2,159.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.29 / $128.57 / $1,002.51	Facility		$71.29	$128.57	$1,002.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $113.23 / $120.36	Facility		$86.93	$113.23	$120.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $78.81 / $80.89	Facility		$78.81	$78.81	$80.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,128.49 / $2,159.90	Facility		$732.19	$1,128.49	$2,159.90
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00