Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,144.00 / $29,300.00	Facility		$1,733.00	$7,144.00	$29,300.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.75 / $15,599.20 / $31,745.76	Facility		$1,751.75	$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 $1,607.76 / $2,771.88 / $11,234.92	Facility		$1,607.76	$2,771.88	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,799.43 / $2,488.38 / $2,626.40	Facility		$1,799.43	$2,488.38	$2,626.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,751.75 / $1,791.44 / $2,513.62	Facility		$1,751.75	$1,791.44	$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 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00