Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.69 / $9,368.00 / $27,982.24	Facility		$1,930.69	$9,368.00	$27,982.24
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 $1,307.46 / $2,299.71 / $11,234.92	Facility		$1,307.46	$2,299.71	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,525.37 / $2,040.23 / $2,124.32	Facility		$1,525.37	$2,040.23	$2,124.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,418.34 / $1,448.23 / $2,513.62	Facility		$1,418.34	$1,448.23	$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 $2,912.00 / $8,242.00 / $16,315.00	Facility		$2,912.00	$8,242.00	$16,315.00