Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $23,000.00	Facility		$1,733.00	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,880.10 / $46,149.28 / $90,281.73	Facility		$1,880.10	$46,149.28	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $55,030.68 / $70,794.87 / $136,960.22	Facility	50	$55,030.68	$70,794.87	$136,960.22
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $189.88 / $628.54 / $628.54	Facility	AS	$189.88	$628.54	$628.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,189.23 / $2,206.89 / $3,494.05	Facility		$1,189.23	$2,206.89	$3,494.05
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $57,918.67 / $60,346.50 / $145,193.39	Facility	50	$57,918.67	$60,346.50	$145,193.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,614.70 / $2,471.29 / $2,756.38	Facility		$1,614.70	$2,471.29	$2,756.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,831.48 / $1,831.48 / $1,880.10	Facility		$1,831.48	$1,831.48	$1,880.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,050.80 / $47,196.58 / $90,281.73	Facility		$36,050.80	$47,196.58	$90,281.73
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $54,076.20 / $70,794.87 / $135,422.59	Facility	50	$54,076.20	$70,794.87	$135,422.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00