Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.30 / $5,128.00 / $20,680.40	Facility		$1,367.30	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $996.60 / $9,286.14 / $18,898.13	Facility		$996.60	$9,286.14	$18,898.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $926.10 / $1,672.57 / $8,210.75	Facility		$926.10	$1,672.57	$8,210.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,109.78 / $1,447.20 / $1,502.14	Facility		$1,109.78	$1,447.20	$1,502.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.60 / $1,024.58 / $1,470.05	Facility		$996.60	$1,024.58	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,907.26 / $9,873.73 / $18,898.13	Facility		$6,907.26	$9,873.73	$18,898.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00