Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,416.08 / $15,599.20 / $31,745.76	Facility		$1,416.08	$15,599.20	$31,745.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,291.92 / $2,276.57 / $11,234.92	Facility		$1,291.92	$2,276.57	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,480.29 / $2,014.95 / $2,111.84	Facility		$1,480.29	$2,014.95	$2,111.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,416.08 / $1,416.08 / $1,440.46	Facility		$1,416.08	$1,416.08	$1,440.46
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