Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,305.91 / $14,464.32 / $22,024.00	Facility		$2,305.91	$14,464.32	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $11,522.14 / $25,481.74	Facility		$2,031.87	$11,522.14	$25,481.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,481.30 / $2,459.53 / $4,350.34	Facility		$1,481.30	$2,459.53	$4,350.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,704.71 / $2,330.26 / $2,491.73	Facility		$1,704.71	$2,330.26	$2,491.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,649.37 / $1,649.37 / $1,699.58	Facility		$1,649.37	$1,649.37	$1,699.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,407.53 / $11,522.14 / $22,040.55	Facility		$8,407.53	$11,522.14	$22,040.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $3,582.08 / $10,312.00	Facility		$2,263.00	$3,582.08	$10,312.00