Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.33 / $5,116.62 / $23,593.00	Facility		$1,127.33	$5,116.62	$23,593.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.13 / $12,327.75 / $25,088.08	Facility		$1,295.13	$12,327.75	$25,088.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $134.59 / $439.01 / $439.01	Facility	AS	$134.59	$439.01	$439.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,128.90 / $1,928.50 / $16,094.82	Facility		$1,128.90	$1,928.50	$16,094.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,296.52 / $1,781.50 / $1,947.69	Facility		$1,296.52	$1,781.50	$1,947.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,295.13 / $1,295.13 / $1,328.50	Facility		$1,295.13	$1,295.13	$1,328.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,554.51 / $13,107.80 / $25,088.08	Facility		$8,554.51	$13,107.80	$25,088.08
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