Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,363.08 / $57,164.56 / $109,349.35	Facility		$1,363.08	$57,164.56	$109,349.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,267.98 / $2,308.67 / $51,421.27	Facility		$1,267.98	$2,308.67	$51,421.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,530.27 / $1,985.88 / $2,056.90	Facility		$1,530.27	$1,985.88	$2,056.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,363.08 / $1,363.08 / $1,402.99	Facility		$1,363.08	$1,363.08	$1,402.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43,664.78 / $57,164.56 / $109,349.35	Facility		$43,664.78	$57,164.56	$109,349.35
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00