Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.96 / $5,116.62 / $20,680.40	Facility		$1,175.96	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,340.43 / $13,249.10 / $26,963.11	Facility		$1,340.43	$13,249.10	$26,963.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,239.42 / $2,213.66 / $8,968.34	Facility		$1,239.42	$2,213.66	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $1,882.03 / $2,012.12	Facility		$1,438.00	$1,882.03	$2,012.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,340.43 / $1,369.17 / $1,964.09	Facility		$1,340.43	$1,369.17	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00