Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,160.00 / $27,419.55 / $55,801.25	Facility		$10,160.00	$27,419.55	$55,801.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,432.20 / $2,623.15 / $26,506.30	Facility		$1,432.20	$2,623.15	$26,506.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,643.95 / $2,255.21 / $2,349.40	Facility		$1,643.95	$2,255.21	$2,349.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,543.82 / $1,543.82 / $1,577.56	Facility		$1,543.82	$1,543.82	$1,577.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,285.78 / $29,070.27 / $55,801.25	Facility		$21,285.78	$29,070.27	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00