Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.06 / $13,467.48 / $89,952.05	Facility		$1,707.06	$13,467.48	$89,952.05
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 $1,368.26 / $2,539.21 / $63,834.23	Facility		$1,368.26	$2,539.21	$63,834.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,607.20 / $1,870.49 / $2,224.28	Facility		$1,607.20	$1,870.49	$2,224.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,344.49 / $1,344.49 / $1,484.03	Facility		$1,344.49	$1,344.49	$1,484.03
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