Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,128.00 / $22,024.00	Facility		$988.00	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $934.99 / $20,128.48 / $40,963.26	Facility		$934.99	$20,128.48	$40,963.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $854.41 / $1,496.91 / $11,411.87	Facility		$854.41	$1,496.91	$11,411.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $987.35 / $1,286.33 / $1,398.29	Facility		$987.35	$1,286.33	$1,398.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $934.99 / $934.99 / $953.76	Facility		$934.99	$934.99	$953.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,886.25 / $21,402.13 / $40,963.26	Facility		$13,886.25	$21,402.13	$40,963.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00