Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $5,128.00 / $23,856.49	Facility		$1,296.00	$5,128.00	$23,856.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.77 / $31,176.05 / $59,636.26	Facility		$1,187.77	$31,176.05	$59,636.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,060.15 / $1,967.06 / $23,310.87	Facility		$1,060.15	$1,967.06	$23,310.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,677.01 / $1,805.65	Facility		$1,225.00	$1,677.01	$1,805.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.77 / $1,187.77 / $1,231.61	Facility		$1,187.77	$1,187.77	$1,231.61
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