Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.46 / $12,757.68 / $29,469.37	Facility		$1,658.46	$12,757.68	$29,469.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $15,599.20 / $31,745.76	Facility		$5,897.00	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $749.94 / $1,324.34 / $1,324.34	Facility	AS	$749.94	$1,324.34	$1,324.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,594.04 / $2,779.44 / $11,234.92	Facility		$1,594.04	$2,779.44	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,898.75 / $2,547.85 / $2,655.88	Facility		$1,898.75	$2,547.85	$2,655.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,777.57 / $1,811.55 / $2,513.62	Facility		$1,777.57	$1,811.55	$2,513.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,478.00 / $5,267.50 / $16,315.00	Facility		$3,478.00	$5,267.50	$16,315.00