Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.94 / $1,999.10 / $20,680.40	Facility		$914.94	$1,999.10	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $947.22 / $25,906.15 / $50,680.13	Facility		$947.22	$25,906.15	$50,680.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $859.83 / $1,468.85 / $32,512.96	Facility		$859.83	$1,468.85	$32,512.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,002.54 / $1,337.32 / $1,425.76	Facility		$1,002.54	$1,337.32	$1,425.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $947.22 / $947.22 / $972.50	Facility		$947.22	$947.22	$972.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,237.31 / $26,494.05 / $50,680.13	Facility		$20,237.31	$26,494.05	$50,680.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00