Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,085.48 / $5,128.00 / $24,827.00	Facility		$2,085.48	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,285.46 / $5,897.00 / $13,552.56	Facility		$2,285.46	$5,897.00	$13,552.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,011.87 / $3,368.29 / $4,174.45	Facility		$2,011.87	$3,368.29	$4,174.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,390.50 / $3,203.27 / $3,350.67	Facility		$2,390.50	$3,203.27	$3,350.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,240.98 / $2,240.98 / $2,285.46	Facility		$2,240.98	$2,240.98	$2,285.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,092.14 / $8,092.14 / $14,622.56	Facility		$8,092.14	$8,092.14	$14,622.56
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