Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,660.43 / $5,128.00 / $20,680.40	Facility		$1,660.43	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,243.04 / $7,382.76	Facility		$55.00	$1,243.04	$7,382.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,065.24 / $1,786.08 / $2,210.05	Facility		$1,065.24	$1,786.08	$2,210.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,220.94 / $1,688.40 / $1,822.40	Facility		$1,220.94	$1,688.40	$1,822.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.84 / $1,243.04 / $1,367.95	Facility		$1,215.84	$1,243.04	$1,367.95
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 $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00