Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.52 / $10,664.80 / $30,597.33	Facility		$905.52	$10,664.80	$30,597.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,415.88 / $21,151.89 / $40,484.32	Facility		$11,415.88	$21,151.89	$40,484.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $722.32 / $1,304.78 / $19,039.34	Facility		$722.32	$1,304.78	$19,039.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $833.82 / $1,082.88 / $1,177.76	Facility		$833.82	$1,082.88	$1,177.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.90 / $776.90 / $784.60	Facility		$776.90	$776.90	$784.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,723.90 / $21,151.89 / $40,484.32	Facility		$13,723.90	$21,151.89	$40,484.32
United Facility/Professional Facility Modifier Low / Median / High Price $12,579.00 / $27,139.45 / $52,223.79	Facility		$12,579.00	$27,139.45	$52,223.79