Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.24 / $1,856.97 / $5,131.85	Facility		$1,190.24	$1,856.97	$5,131.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,560.00 / $14,663.54 / $28,049.69	Facility		$4,560.00	$14,663.54	$28,049.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,020.24 / $2,591.25 / $5,463.26	Facility		$1,020.24	$2,591.25	$5,463.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,252.23 / $2,966.44 / $3,542.06	Facility		$1,252.23	$2,966.44	$3,542.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,136.48 / $2,155.37 / $2,173.03	Facility		$2,136.48	$2,155.37	$2,173.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69