Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.41 / $809.71 / $10,758.50	Facility		$496.41	$809.71	$10,758.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,875.28 / $6,199.92	Facility		$55.00	$4,875.28	$6,199.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.60 / $3,449.37 / $9,961.06	Facility		$436.60	$3,449.37	$9,961.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $6,684.45 / $7,703.04	Facility		$568.52	$6,684.45	$7,703.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,875.28 / $4,875.28 / $5,131.58	Facility		$4,875.28	$4,875.28	$5,131.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,294.04 / $9,294.04 / $11,709.09	Facility		$9,294.04	$9,294.04	$11,709.09