Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.78 / $5,132.00 / $22,024.00	Facility		$1,649.78	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,209.06 / $13,249.10 / $26,963.11	Facility		$1,209.06	$13,249.10	$26,963.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,117.20 / $1,970.01 / $8,968.34	Facility		$1,117.20	$1,970.01	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,262.08 / $1,678.35 / $1,805.65	Facility		$1,262.08	$1,678.35	$1,805.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,209.06 / $1,209.06 / $1,231.61	Facility		$1,209.06	$1,209.06	$1,231.61
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