Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $5,128.00 / $20,680.40	Facility		$1,125.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,049.27 / $6,344.41	Facility		$55.00	$1,049.27	$6,344.41
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $106.49 / $347.57 / $347.57	Facility	AS	$106.49	$347.57	$347.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $880.68 / $1,464.68 / $1,864.68	Facility		$880.68	$1,464.68	$1,864.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,048.10 / $1,412.36 / $1,538.32	Facility		$1,048.10	$1,412.36	$1,538.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.42 / $1,049.27 / $2,429.53	Facility		$1,022.42	$1,049.27	$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 $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00