Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,863.94 / $34,610.76	Facility		$1,733.00	$7,863.94	$34,610.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,797.50 / $18,469.48 / $35,350.23	Facility		$1,797.50	$18,469.48	$35,350.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,667.82 / $2,875.67 / $9,106.41	Facility		$1,667.82	$2,875.67	$9,106.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,875.50 / $2,581.51 / $2,706.80	Facility		$1,875.50	$2,581.51	$2,706.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,797.50 / $1,797.50 / $1,846.28	Facility		$1,797.50	$1,797.50	$1,846.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,115.86 / $19,192.08 / $35,350.23	Facility		$14,115.86	$19,192.08	$35,350.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00