Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.50 / $7,920.26 / $22,242.39	Facility		$1,194.50	$7,920.26	$22,242.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $15,326.73 / $31,278.54	Facility		$9,817.25	$15,326.73	$31,278.54
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 $917.97 / $1,684.88 / $12,028.17	Facility		$917.97	$1,684.88	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,089.92 / $1,446.53 / $1,488.74	Facility		$1,089.92	$1,446.53	$1,488.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.90 / $1,015.45 / $2,429.53	Facility		$988.90	$1,015.45	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
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