Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.40 / $1,404.29 / $20,680.40	Facility		$644.40	$1,404.29	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $692.36 / $5,268.33	Facility		$55.00	$692.36	$5,268.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $593.88 / $1,002.57 / $1,252.95	Facility		$593.88	$1,002.57	$1,252.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $700.77 / $960.78 / $1,015.05	Facility		$700.77	$960.78	$1,015.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.08 / $669.08 / $692.36	Facility		$669.08	$669.08	$692.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,064.08 / $8,064.08 / $15,127.72	Facility		$8,064.08	$8,064.08	$15,127.72
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00