Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.25 / $5,128.00 / $18,800.00	Facility		$216.25	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $160.36 / $8,466.87 / $17,279.07	Facility		$160.36	$8,466.87	$17,279.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.26 / $310.81 / $2,923.63	Facility		$187.26	$310.81	$2,923.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $228.47 / $267.33	Facility		$183.09	$228.47	$267.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.36 / $160.36 / $162.24	Facility		$160.36	$160.36	$162.24
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 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00