Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.11 / $3,906.56 / $9,703.00	Facility		$288.11	$3,906.56	$9,703.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,730.13 / $11,500.00	Facility		$2,701.16	$4,730.13	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $4,806.83 / $6,831.95 / $13,217.15	Facility	50	$4,806.83	$6,831.95	$13,217.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $156.60 / $322.33 / $1,741.30	Facility		$156.60	$322.33	$1,741.30
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $3,909.52 / $4,629.85 / $11,139.39	Facility	50	$3,909.52	$4,629.85	$11,139.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.19 / $290.11 / $314.89	Facility		$211.19	$290.11	$314.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.66 / $214.79 / $1,613.81	Facility		$205.66	$214.79	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,024.21 / $4,552.03 / $8,712.50	Facility		$3,024.21	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,536.32 / $6,831.95 / $13,068.75	Facility	50	$4,536.32	$6,831.95	$13,068.75
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00