Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $27,982.24	Facility		$1,733.00	$6,470.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,537.48 / $46,718.93 / $91,396.13	Facility		$1,537.48	$46,718.93	$91,396.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,370.84 / $2,401.92 / $58,633.60	Facility		$1,370.84	$2,401.92	$58,633.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,619.68 / $2,181.81 / $2,329.59	Facility		$1,619.68	$2,181.81	$2,329.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,537.48 / $1,537.48 / $1,588.99	Facility		$1,537.48	$1,537.48	$1,588.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,495.80 / $47,779.16 / $91,396.13	Facility		$36,495.80	$47,779.16	$91,396.13
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