Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,107.21 / $14,809.00 / $64,097.13	Facility		$2,107.21	$14,809.00	$64,097.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,410.59 / $36,469.56 / $71,345.31	Facility		$6,410.59	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $41,919.41 / $55,945.79 / $108,233.07	Facility	50	$41,919.41	$55,945.79	$108,233.07
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,935.59 / $4,882.81 / $4,882.81	Facility	AS	$2,935.59	$4,882.81	$4,882.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,218.75 / $2,461.23 / $19,677.32	Facility		$1,218.75	$2,461.23	$19,677.32
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $31,376.28 / $39,055.51 / $87,485.25	Facility	50	$31,376.28	$39,055.51	$87,485.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,619.20 / $2,239.14 / $2,317.53	Facility		$1,619.20	$2,239.14	$2,317.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.35 / $1,580.76 / $19,249.45	Facility		$1,548.35	$1,580.76	$19,249.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,215.17 / $37,275.87 / $71,345.31	Facility		$27,215.17	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $40,822.76 / $55,913.81 / $107,017.97	Facility	50	$40,822.76	$55,913.81	$107,017.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $8,600.00 / $24,236.00	Facility		$3,700.00	$8,600.00	$24,236.00