Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,957.50 / $18,711.00	Facility		$801.00	$5,957.50	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $727.97 / $8,327.75 / $16,947.71	Facility		$727.97	$8,327.75	$16,947.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $619.63 / $1,070.78 / $5,198.37	Facility		$619.63	$1,070.78	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.60 / $946.71 / $1,090.76	Facility		$684.60	$946.71	$1,090.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.97 / $727.97 / $744.00	Facility		$727.97	$727.97	$744.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00