Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $17,273.00 / $71,744.97	Facility		$1,733.00	$17,273.00	$71,744.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,013.86 / $37,065.74 / $92,549.24	Facility	50	$10,013.86	$37,065.74	$92,549.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,277.70 / $46,808.87 / $95,526.76	Facility		$13,277.70	$46,808.87	$95,526.76
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $47,468.66 / $74,907.80 / $144,917.09	Facility	50	$47,468.66	$74,907.80	$144,917.09
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,718.70 / $2,858.74 / $2,858.74	Facility	AS	$1,718.70	$2,858.74	$2,858.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,559.93 / $7,559.93 / $12,594.75	Facility		$7,559.93	$7,559.93	$12,594.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,856.07 / $3,282.47 / $16,087.19	Facility		$1,856.07	$3,282.47	$16,087.19
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $16,087.19 / $45,394.87 / $91,839.01	Facility	50	$16,087.19	$45,394.87	$91,839.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,920.05 / $2,333.76 / $2,905.79	Facility		$1,920.05	$2,333.76	$2,905.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,554.70 / $1,595.39 / $5,904.85	Facility		$1,554.70	$1,595.39	$5,904.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32,382.89 / $49,909.98 / $95,526.76	Facility		$32,382.89	$49,909.98	$95,526.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $48,574.34 / $74,864.97 / $143,290.14	Facility	50	$48,574.34	$74,864.97	$143,290.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00