Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.14 / $5,128.00 / $20,680.40	Facility		$866.14	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,185.98 / $9,172.83 / $20,286.13	Facility		$3,185.98	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,070.78 / $13,759.25 / $26,618.73	Facility	50	$10,070.78	$13,759.25	$26,618.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $529.22 / $1,058.92 / $3,280.24	Facility		$529.22	$1,058.92	$3,280.24
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,775.69 / $9,273.01 / $22,310.81	Facility	50	$5,775.69	$9,273.01	$22,310.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $744.31 / $910.80 / $969.68	Facility		$744.31	$910.80	$969.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.98 / $652.60 / $2,961.46	Facility		$645.98	$652.60	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,039.91 / $13,751.39 / $26,319.89	Facility	50	$10,039.91	$13,751.39	$26,319.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00