Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.54 / $6,470.00 / $27,982.24	Facility		$1,707.54	$6,470.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,251.19 / $27,419.55 / $55,801.25	Facility		$1,251.19	$27,419.55	$55,801.25
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,192.02 / $2,105.03 / $2,105.03	Facility	AS	$1,192.02	$2,105.03	$2,105.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,156.26 / $2,067.64 / $11,411.87	Facility		$1,156.26	$2,067.64	$11,411.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,344.07 / $1,737.98 / $1,871.31	Facility		$1,344.07	$1,737.98	$1,871.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.19 / $1,251.19 / $1,276.40	Facility		$1,251.19	$1,251.19	$1,276.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,801.25	Facility		$18,916.23	$29,070.27	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00