Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.21 / $1,456.59 / $20,680.40	Facility		$689.21	$1,456.59	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $706.07 / $8,466.87 / $17,279.07	Facility		$706.07	$8,466.87	$17,279.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $701.92 / $1,088.22 / $2,923.63	Facility		$701.92	$1,088.22	$2,923.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.18 / $986.24 / $1,068.96	Facility		$713.18	$986.24	$1,068.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.07 / $706.07 / $721.63	Facility		$706.07	$706.07	$721.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,700.71 / $8,832.54 / $17,279.07	Facility		$5,700.71	$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