Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.34 / $5,128.00 / $20,680.40	Facility		$459.34	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $334.77 / $2,538.00 / $26,542.00	Facility		$334.77	$2,538.00	$26,542.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $373.90 / $455.55 / $769.76	Facility		$373.90	$455.55	$769.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.97 / $438.55 / $614.39	Facility		$282.97	$438.55	$614.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.36 / $334.77 / $334.77	Facility		$235.36	$334.77	$334.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,152.97 / $4,152.97 / $5,232.12	Facility		$4,152.97	$4,152.97	$5,232.12
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00