Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,377.51 / $17,207.00 / $50,040.90	Facility		$2,377.51	$17,207.00	$50,040.90
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
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,192.02 / $2,105.03 / $2,105.03	Facility	AS	$1,192.02	$2,105.03	$2,105.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,825.74 / $3,347.50 / $12,028.17	Facility		$1,825.74	$3,347.50	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,132.39 / $2,880.33 / $2,966.31	Facility		$2,132.39	$2,880.33	$2,966.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,970.10 / $1,970.10 / $2,023.14	Facility		$1,970.10	$1,970.10	$2,023.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,801.25	Facility		$18,916.23	$29,070.27	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,075.00 / $9,912.10 / $19,271.00	Facility		$4,075.00	$9,912.10	$19,271.00