Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.76 / $5,116.62 / $18,800.00	Facility		$548.76	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $409.97 / $15,369.61 / $31,278.54	Facility		$409.97	$15,369.61	$31,278.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $377.71 / $681.11 / $11,508.16	Facility		$377.71	$681.11	$11,508.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.02 / $581.67 / $615.40	Facility		$437.02	$581.67	$615.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.97 / $409.97 / $416.33	Facility		$409.97	$409.97	$416.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00