Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.67 / $7,144.00 / $27,982.24	Facility		$1,723.67	$7,144.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $14,811.42 / $28,332.57	Facility		$2,031.87	$14,811.42	$28,332.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,336.35 / $2,668.79 / $5,459.58	Facility		$1,336.35	$2,668.79	$5,459.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,535.17 / $2,111.17 / $2,267.94	Facility		$1,535.17	$2,111.17	$2,267.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,504.87 / $1,504.87 / $1,546.95	Facility		$1,504.87	$1,504.87	$1,546.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,567.02 / $14,482.75 / $28,332.57	Facility		$9,567.02	$14,482.75	$28,332.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $3,501.00 / $16,315.00	Facility		$2,263.00	$3,501.00	$16,315.00