Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.78 / $3,925.18 / $18,711.00	Facility		$1,500.78	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,123.31 / $4,797.50	Facility		$55.00	$1,123.31	$4,797.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $958.99 / $1,703.02 / $2,068.29	Facility		$958.99	$1,703.02	$2,068.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,181.88 / $1,547.66 / $1,646.86	Facility		$1,181.88	$1,547.66	$1,646.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.56 / $1,123.31 / $1,470.05	Facility		$1,088.56	$1,123.31	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,035.83 / $5,035.83 / $10,766.14	Facility		$5,035.83	$5,035.83	$10,766.14
United Facility/Professional Facility Modifier Low / Median / High Price $715.30 / $1,120.00 / $6,857.00	Facility		$715.30	$1,120.00	$6,857.00