Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.40 / $2,770.97 / $20,680.40	Facility		$1,161.40	$2,770.97	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,364.60 / $8,122.80	Facility		$55.00	$1,364.60	$8,122.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,175.16 / $2,007.52 / $2,438.10	Facility		$1,175.16	$2,007.52	$2,438.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,366.61 / $1,873.32 / $2,000.62	Facility		$1,366.61	$1,873.32	$2,000.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.54 / $1,334.54 / $1,364.60	Facility		$1,334.54	$1,334.54	$1,364.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,183.62 / $11,183.62 / $21,189.66	Facility		$11,183.62	$11,183.62	$21,189.66
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