Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,460.40 / $5,116.62 / $27,982.24	Facility		$1,460.40	$5,116.62	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.17 / $29,207.88 / $57,139.31	Facility		$1,068.17	$29,207.88	$57,139.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,010.92 / $1,774.38 / $36,656.73	Facility		$1,010.92	$1,774.38	$36,656.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,221.50 / $1,549.30 / $1,623.09	Facility		$1,221.50	$1,549.30	$1,623.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,068.17 / $1,068.17 / $1,079.89	Facility		$1,068.17	$1,068.17	$1,079.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,816.56 / $29,870.72 / $57,139.31	Facility		$22,816.56	$29,870.72	$57,139.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00