Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.69 / $12,334.71 / $31,764.56	Facility		$1,055.69	$12,334.71	$31,764.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,372.40 / $20,273.81 / $38,781.51	Facility		$9,372.40	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $22,004.69 / $30,410.72 / $58,832.76	Facility	50	$22,004.69	$30,410.72	$58,832.76
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,538.37 / $2,558.80 / $2,558.80	Facility	AS	$1,538.37	$2,558.80	$2,558.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $11,273.32	Facility		$1,005.16	$1,223.70	$11,273.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $759.94 / $1,555.96 / $9,886.32	Facility		$759.94	$1,555.96	$9,886.32
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $16,819.93 / $19,857.63 / $47,777.37	Facility	50	$16,819.93	$19,857.63	$47,777.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,034.39 / $1,412.36 / $1,514.20	Facility		$1,034.39	$1,412.36	$1,514.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.69 / $1,032.82 / $9,372.40	Facility		$995.69	$1,032.82	$9,372.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,669.79 / $20,262.22 / $38,781.51	Facility		$14,669.79	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,004.69 / $30,393.33 / $58,172.27	Facility	50	$22,004.69	$30,393.33	$58,172.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00