Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,500.00 / $18,711.00	Facility		$1,733.00	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,960.58 / $8,859.76 / $16,947.71	Facility		$1,960.58	$8,859.76	$16,947.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,747.25 / $2,871.60 / $7,931.04	Facility		$1,747.25	$2,871.60	$7,931.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,021.33 / $2,782.51 / $2,945.32	Facility		$2,021.33	$2,782.51	$2,945.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,960.58 / $1,960.58 / $2,008.97	Facility		$1,960.58	$1,960.58	$2,008.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$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