Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.25 / $9,703.00 / $13,946.44	Facility		$1,444.25	$9,703.00	$13,946.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.97 / $8,327.75 / $16,947.71	Facility		$1,074.97	$8,327.75	$16,947.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $988.10 / $1,738.22 / $5,198.37	Facility		$988.10	$1,738.22	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,314.78 / $1,509.60 / $4,200.00	Facility		$1,314.78	$1,509.60	$4,200.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.97 / $1,074.97 / $1,097.26	Facility		$1,074.97	$1,074.97	$1,097.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00