Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.01 / $12,406.51 / $35,131.94	Facility		$1,579.01	$12,406.51	$35,131.94
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 $1,526.99 / $2,821.43 / $9,716.85	Facility		$1,526.99	$2,821.43	$9,716.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,863.96 / $2,403.39 / $2,488.83	Facility		$1,863.96	$2,403.39	$2,488.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,641.67 / $1,641.67 / $1,682.22	Facility		$1,641.67	$1,641.67	$1,682.22
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 $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00