Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.03 / $5,128.00 / $21,917.86	Facility		$1,230.03	$5,128.00	$21,917.86
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $702.15 / $1,431.83 / $7,292.72	Facility		$702.15	$1,431.83	$7,292.72
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $9,876.28 / $19,857.63 / $47,777.37	Facility	50	$9,876.28	$19,857.63	$47,777.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $921.03 / $1,273.67 / $1,350.72	Facility		$921.03	$1,273.67	$1,350.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.50 / $921.31 / $6,526.97	Facility		$891.50	$921.31	$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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00