Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.08 / $3,443.15 / $20,680.40	Facility		$1,666.08	$3,443.15	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,760.36 / $8,511.44 / $18,823.43	Facility		$1,760.36	$8,511.44	$18,823.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,630.54 / $2,785.45 / $10,445.06	Facility		$1,630.54	$2,785.45	$10,445.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,888.58 / $2,498.79 / $2,642.48	Facility		$1,888.58	$2,498.79	$2,642.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.36 / $1,760.36 / $1,796.47	Facility		$1,760.36	$1,760.36	$1,796.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,501.41 / $8,511.44 / $16,281.41	Facility		$6,501.41	$8,511.44	$16,281.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $11,941.00	Facility		$2,155.00	$6,594.00	$11,941.00