Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.71 / $7,144.00 / $27,982.24	Facility		$1,888.71	$7,144.00	$27,982.24
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 $1,479.71 / $2,459.53 / $4,350.34	Facility		$1,479.71	$2,459.53	$4,350.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,702.75 / $2,330.92 / $2,498.42	Facility		$1,702.75	$2,330.92	$2,498.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,654.81 / $1,654.81 / $1,704.15	Facility		$1,654.81	$1,654.81	$1,704.15
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 $2,240.00 / $4,016.00 / $16,315.00	Facility		$2,240.00	$4,016.00	$16,315.00