Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $25,612.66	Facility		$1,733.00	$5,132.00	$25,612.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,843.54 / $18,220.34 / $35,644.43	Facility		$1,843.54	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $21,726.84 / $27,950.76 / $54,073.73	Facility	50	$21,726.84	$27,950.76	$54,073.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.89 / $615.52 / $615.52	Facility	AS	$187.89	$615.52	$615.52
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 $1,285.20 / $2,643.97 / $3,682.74	Facility		$1,285.20	$2,643.97	$3,682.74
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $22,867.07 / $23,825.60 / $57,324.29	Facility	50	$22,867.07	$23,825.60	$57,324.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,889.44 / $2,582.85 / $2,702.78	Facility		$1,889.44	$2,582.85	$2,702.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.79 / $1,794.79 / $1,843.54	Facility		$1,794.79	$1,794.79	$1,843.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $21,350.01 / $27,950.76 / $53,466.65	Facility	50	$21,350.01	$27,950.76	$53,466.65
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