Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.51 / $13,801.00 / $33,512.61	Facility		$1,469.51	$13,801.00	$33,512.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $40,173.29 / $40,173.29 / $40,173.29	Facility	50	$40,173.29	$40,173.29	$40,173.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,395.28 / $20,273.81 / $38,781.51	Facility		$9,395.28	$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 $1,548.16 / $2,575.09 / $2,575.09	Facility	AS	$1,548.16	$2,575.09	$2,575.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $11,345.07	Facility		$1,005.16	$1,223.70	$11,345.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,107.94 / $2,236.19 / $9,949.24	Facility		$1,107.94	$2,236.19	$9,949.24
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 $1,472.45 / $2,015.36 / $2,139.98	Facility		$1,472.45	$2,015.36	$2,139.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.27 / $1,459.66 / $9,395.28	Facility		$1,414.27	$1,459.66	$9,395.28
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