Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.52 / $5,128.00 / $20,680.40	Facility		$1,662.52	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $25,035.29 / $55,801.25	Facility		$9,817.25	$25,035.29	$55,801.25
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $724.51 / $1,279.44 / $1,279.44	Facility	AS	$724.51	$1,279.44	$1,279.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,126.34 / $2,067.50 / $9,716.85	Facility		$1,126.34	$2,067.50	$9,716.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,295.56 / $1,775.50 / $1,828.43	Facility		$1,295.56	$1,775.50	$1,828.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.13 / $1,213.13 / $1,247.15	Facility		$1,213.13	$1,213.13	$1,247.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,479.97 / $27,419.55 / $55,801.25	Facility		$12,479.97	$27,419.55	$55,801.25
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