Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.92 / $5,128.00 / $24,827.00	Facility		$454.92	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $340.92 / $7,682.09 / $26,542.00	Facility		$340.92	$7,682.09	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $34.82 / $113.08 / $113.08	Facility	AS	$34.82	$113.08	$113.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $525.62 / $682.50	Facility		$307.50	$525.62	$682.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $378.77 / $481.05 / $499.82	Facility		$378.77	$481.05	$499.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.77 / $334.77 / $340.92	Facility		$334.77	$334.77	$340.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,097.63 / $6,097.63 / $7,682.09	Facility		$6,097.63	$6,097.63	$7,682.09
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00