Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.97 / $5,128.00 / $20,680.40	Facility		$1,473.97	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,105.03 / $6,563.76	Facility		$55.00	$1,105.03	$6,563.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $934.10 / $1,559.02 / $1,963.22	Facility		$934.10	$1,559.02	$1,963.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,076.56 / $1,488.74 / $1,620.06	Facility		$1,076.56	$1,488.74	$1,620.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.31 / $1,105.03 / $2,429.53	Facility		$1,081.31	$1,105.03	$2,429.53
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 $2,749.50 / $3,360.50 / $6,594.00	Facility		$2,749.50	$3,360.50	$6,594.00