Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $5,132.00 / $22,024.00	Facility		$1,125.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.92 / $13,249.10 / $26,963.11	Facility		$1,036.92	$13,249.10	$26,963.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $944.28 / $1,627.08 / $8,968.34	Facility		$944.28	$1,627.08	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,073.58 / $1,427.10 / $1,551.72	Facility		$1,073.58	$1,427.10	$1,551.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,036.92 / $1,058.41 / $1,964.09	Facility		$1,036.92	$1,058.41	$1,964.09
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