Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.47 / $5,128.00 / $18,800.00	Facility		$408.47	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $305.77 / $8,466.87 / $17,279.07	Facility		$305.77	$8,466.87	$17,279.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.14 / $581.23 / $2,923.63	Facility		$331.14	$581.23	$2,923.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $350.11 / $431.96 / $477.12	Facility		$350.11	$431.96	$477.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.77 / $305.77 / $307.10	Facility		$305.77	$305.77	$307.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,650.51 / $8,832.54 / $17,279.07	Facility		$5,650.51	$8,832.54	$17,279.07
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,302.00 / $4,911.00	Facility		$648.00	$1,302.00	$4,911.00