Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.55 / $32,148.63 / $86,710.87	Facility		$1,428.55	$32,148.63	$86,710.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26,727.00 / $67,267.53 / $128,748.78	Facility		$26,727.00	$67,267.53	$128,748.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,021.53 / $1,902.81 / $63,834.23	Facility		$1,021.53	$1,902.81	$63,834.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,179.76 / $1,552.27 / $1,661.92	Facility		$1,179.76	$1,552.27	$1,661.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.40 / $1,109.40 / $1,115.99	Facility		$1,109.40	$1,109.40	$1,115.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,539.31 / $67,267.53 / $128,748.78	Facility		$44,539.31	$67,267.53	$128,748.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $16,613.00 / $61,876.00	Facility		$3,960.00	$16,613.00	$61,876.00