Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.94 / $1,838.28 / $20,680.40	Facility		$946.94	$1,838.28	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $984.37 / $9,032.98 / $17,279.07	Facility		$984.37	$9,032.98	$17,279.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $959.28 / $1,582.64 / $8,977.36	Facility		$959.28	$1,582.64	$8,977.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.49 / $1,385.98 / $1,497.45	Facility		$1,000.49	$1,385.98	$1,497.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $984.37 / $984.37 / $1,021.40	Facility		$984.37	$984.37	$1,021.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,255.42 / $9,027.82 / $17,279.07	Facility		$6,255.42	$9,027.82	$17,279.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00