Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.91 / $5,128.00 / $18,711.00	Facility		$1,122.91	$5,128.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,010.16 / $10,612.45 / $26,542.00	Facility		$6,010.16	$10,612.45	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,030.82 / $15,918.68 / $30,796.38	Facility	50	$10,030.82	$15,918.68	$30,796.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $847.06 / $1,406.65 / $7,779.83	Facility		$847.06	$1,406.65	$7,779.83
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $7,779.83 / $9,245.96 / $22,245.75	Facility	50	$7,779.83	$9,245.96	$22,245.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $931.74 / $1,166.47 / $1,232.63	Facility		$931.74	$1,166.47	$1,232.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.42 / $830.83 / $1,366.31	Facility		$810.42	$830.83	$1,366.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $10,606.39 / $20,300.41	Facility		$6,881.70	$10,606.39	$20,300.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,322.54 / $15,909.59 / $30,450.63	Facility	50	$10,322.54	$15,909.59	$30,450.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00