Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.92 / $6,470.00 / $27,982.24	Facility		$1,031.92	$6,470.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $767.84 / $31,158.23 / $59,636.26	Facility		$767.84	$31,158.23	$59,636.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $703.23 / $1,265.78 / $23,310.87	Facility		$703.23	$1,265.78	$23,310.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $807.52 / $1,082.33 / $1,155.08	Facility		$807.52	$1,082.33	$1,155.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $767.84 / $767.84 / $787.87	Facility		$767.84	$767.84	$787.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,326.97 / $31,176.05 / $59,636.26	Facility		$22,326.97	$31,176.05	$59,636.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00