Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.26 / $5,128.00 / $20,680.40	Facility		$435.26	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $313.48 / $2,304.75 / $26,542.00	Facility		$313.48	$2,304.75	$26,542.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $349.61 / $429.78 / $719.78	Facility		$349.61	$429.78	$719.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.21 / $410.13 / $574.86	Facility		$202.21	$410.13	$574.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.48 / $313.48 / $313.48	Facility		$207.48	$313.48	$313.48
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