Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.80 / $11,522.02 / $27,982.24	Facility		$1,139.80	$11,522.02	$27,982.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,228.02 / $31,202.44 / $31,202.44	Facility	50	$2,228.02	$31,202.44	$31,202.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $20,860.50 / $30,410.72 / $58,832.76	Facility	50	$20,860.50	$30,410.72	$58,832.76
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $633.46 / $1,278.27 / $6,597.50	Facility		$633.46	$1,278.27	$6,597.50
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,775.69 / $19,857.63 / $47,777.37	Facility	50	$5,775.69	$19,857.63	$47,777.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $807.52 / $1,102.15 / $1,241.51	Facility		$807.52	$1,102.15	$1,241.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.91 / $846.82 / $6,526.97	Facility		$824.91	$846.82	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,719.99 / $30,393.33 / $58,172.27	Facility	50	$19,719.99	$30,393.33	$58,172.27
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