Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,518.91 / $14,638.06 / $29,789.77	Facility		$1,518.91	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,570.56 / $2,577.94 / $10,488.49	Facility		$1,570.56	$2,577.94	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,751.47 / $2,111.16 / $2,280.04	Facility		$1,751.47	$2,111.16	$2,280.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,518.91 / $1,518.91 / $1,526.38	Facility		$1,518.91	$1,518.91	$1,526.38
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 $4,241.00 / $4,901.63 / $19,271.00	Facility		$4,241.00	$4,901.63	$19,271.00