Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.48 / $2,812.16 / $14,464.32	Facility		$370.48	$2,812.16	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $501.03 / $1,820.15	Facility		$55.00	$501.03	$1,820.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $326.25 / $1,080.66 / $5,120.06	Facility		$326.25	$1,080.66	$5,120.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $418.75 / $2,399.36 / $4,582.13	Facility		$418.75	$2,399.36	$4,582.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,733.86 / $1,733.86 / $1,820.15	Facility		$1,733.86	$1,733.86	$1,820.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,188.93 / $10,188.93 / $12,836.50	Facility		$10,188.93	$10,188.93	$12,836.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00