Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.25 / $275.93 / $342.98	Facility		$166.25	$275.93	$342.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,579.34 / $4,348.10 / $8,317.42	Facility		$2,579.34	$4,348.10	$8,317.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $229.14 / $251.60	Facility		$162.24	$229.14	$251.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.61 / $167.61 / $170.92	Facility		$167.61	$167.61	$170.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,819.55 / $4,345.60 / $8,317.42	Facility		$2,819.55	$4,345.60	$8,317.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $7,385.00	Facility		$1,120.00	$3,323.00	$7,385.00