Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,470.00 / $21,917.86	Facility		$988.00	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,623.53 / $9,172.83 / $20,286.13	Facility		$3,623.53	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,070.78 / $13,759.25 / $26,618.73	Facility	50	$10,070.78	$13,759.25	$26,618.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $777.37 / $1,577.01 / $3,280.24	Facility		$777.37	$1,577.01	$3,280.24
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,106.03 / $9,273.01 / $22,310.81	Facility	50	$8,106.03	$9,273.01	$22,310.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,029.49 / $1,406.33 / $1,493.43	Facility		$1,029.49	$1,406.33	$1,493.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $987.54 / $2,961.46	Facility		$986.25	$987.54	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,039.91 / $13,751.39 / $26,319.89	Facility	50	$10,039.91	$13,751.39	$26,319.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00