Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.53 / $5,128.00 / $24,827.00	Facility		$1,276.53	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $931.82 / $12,293.36 / $25,088.08	Facility		$931.82	$12,293.36	$25,088.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $801.69 / $1,397.86 / $16,094.82	Facility		$801.69	$1,397.86	$16,094.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $926.61 / $1,268.31 / $1,398.29	Facility		$926.61	$1,268.31	$1,398.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $931.82 / $953.76 / $1,964.09	Facility		$931.82	$953.76	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,570.02 / $13,115.29 / $25,088.08	Facility		$9,570.02	$13,115.29	$25,088.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00