Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $1,917.88 / $20,680.40	Facility		$933.00	$1,917.88	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $975.31 / $9,027.82 / $17,279.07	Facility		$975.31	$9,027.82	$17,279.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,041.27 / $1,583.69 / $2,923.63	Facility		$1,041.27	$1,583.69	$2,923.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,034.41 / $1,394.38 / $1,496.00	Facility		$1,034.41	$1,394.38	$1,496.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $975.31 / $975.31 / $993.06	Facility		$975.31	$975.31	$993.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $8,832.54 / $17,279.07	Facility		$5,857.48	$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