Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.62 / $5,128.00 / $24,224.55	Facility		$279.62	$5,128.00	$24,224.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $276.94 / $411.64 / $15,878.00	Facility		$276.94	$411.64	$15,878.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $256.33 / $446.96 / $537.80	Facility		$256.33	$446.96	$537.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.06 / $384.76 / $409.37	Facility		$295.06	$384.76	$409.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.94 / $276.94 / $279.50	Facility		$276.94	$276.94	$279.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,120.92 / $6,120.92 / $7,711.43	Facility		$6,120.92	$6,120.92	$7,711.43
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00