Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.79 / $2,058.67 / $17,100.00	Facility		$377.79	$2,058.67	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.50 / $7,621.14 / $13,610.57	Facility		$1,200.50	$7,621.14	$13,610.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $967.63 / $3,249.35	Facility		$308.00	$967.63	$3,249.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $454.79 / $1,525.59 / $1,658.92	Facility		$454.79	$1,525.59	$1,658.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,131.53 / $1,131.53 / $1,177.34	Facility		$1,131.53	$1,131.53	$1,177.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $9,804.29 / $18,754.53	Facility		$6,718.33	$9,804.29	$18,754.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,623.00 / $12,835.00	Facility		$2,155.00	$3,623.00	$12,835.00