Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.88 / $11,250.10 / $23,596.86	Facility		$670.88	$11,250.10	$23,596.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,397.76 / $15,838.14 / $30,984.11	Facility		$3,397.76	$15,838.14	$30,984.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $591.87 / $4,591.07 / $16,843.61	Facility		$591.87	$4,591.07	$16,843.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $745.89 / $10,802.99 / $11,798.03	Facility		$745.89	$10,802.99	$11,798.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,777.68 / $7,777.68 / $8,296.70	Facility		$7,777.68	$7,777.68	$8,296.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,372.40 / $16,684.06 / $30,984.11	Facility		$12,372.40	$16,684.06	$30,984.11
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