Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.38 / $2,258.11 / $22,024.00	Facility		$972.38	$2,258.11	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.21 / $46,149.28 / $90,281.73	Facility		$1,071.21	$46,149.28	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $55,030.68 / $70,794.87 / $136,960.22	Facility	50	$55,030.68	$70,794.87	$136,960.22
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $107.86 / $354.84 / $354.84	Facility	AS	$107.86	$354.84	$354.84
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 $777.41 / $1,593.09 / $2,167.32	Facility		$777.41	$1,593.09	$2,167.32
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $57,918.67 / $60,346.50 / $145,193.39	Facility	50	$57,918.67	$60,346.50	$145,193.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,147.08 / $1,486.90 / $1,575.56	Facility		$1,147.08	$1,486.90	$1,575.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,059.10 / $1,059.10 / $1,071.21	Facility		$1,059.10	$1,059.10	$1,071.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,050.80 / $47,196.58 / $90,281.73	Facility		$36,050.80	$47,196.58	$90,281.73
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $54,076.20 / $70,794.87 / $135,422.59	Facility	50	$54,076.20	$70,794.87	$135,422.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00