Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.50 / $5,125.00 / $23,000.00	Facility		$1,507.50	$5,125.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,117.55 / $10,579.69	Facility		$55.00	$1,117.55	$10,579.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $862.64 / $1,670.32 / $2,084.58	Facility		$862.64	$1,670.32	$2,084.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,107.48 / $1,558.71 / $1,686.39	Facility		$1,107.48	$1,558.71	$1,686.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.55 / $1,117.55 / $1,150.27	Facility		$1,117.55	$1,117.55	$1,150.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,214.03 / $1,214.03 / $1,294.96	Facility		$1,214.03	$1,214.03	$1,294.96
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00