Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.46 / $7,144.00 / $27,982.24	Facility		$1,897.46	$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 $1,484.00 / $2,834.92 / $5,459.58	Facility		$1,484.00	$2,834.92	$5,459.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,712.55 / $2,342.98 / $2,505.80	Facility		$1,712.55	$2,342.98	$2,505.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,662.51 / $1,662.51 / $1,709.18	Facility		$1,662.51	$1,662.51	$1,709.18
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