Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.59 / $7,489.85 / $18,800.00	Facility		$1,294.59	$7,489.85	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $967.47 / $8,622.02 / $17,546.59	Facility		$967.47	$8,622.02	$17,546.59
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $9,601.43 / $13,759.25 / $26,618.73	Facility	50	$9,601.43	$13,759.25	$26,618.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $417.33 / $736.98 / $736.98	Facility	AS	$417.33	$736.98	$736.98
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 $782.74 / $1,565.03 / $2,892.28	Facility		$782.74	$1,565.03	$2,892.28
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,680.35 / $9,273.01 / $22,310.81	Facility	50	$5,680.35	$9,273.01	$22,310.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.26 / $1,382.56 / $1,437.15	Facility		$1,023.26	$1,382.56	$1,437.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.04 / $949.04 / $967.47	Facility		$949.04	$949.04	$967.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,922.26 / $13,751.39 / $26,319.89	Facility	50	$8,922.26	$13,751.39	$26,319.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00