Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $21,163.13	Facility		$1,733.00	$6,470.00	$21,163.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.20 / $16,547.20 / $31,745.76	Facility		$1,487.20	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $19,647.32 / $25,622.40 / $48,159.32	Facility	50	$19,647.32	$25,622.40	$48,159.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,266.78 / $2,442.78 / $15,077.93	Facility		$1,266.78	$2,442.78	$15,077.93
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $15,077.93 / $15,709.96 / $37,798.10	Facility	50	$15,077.93	$15,709.96	$37,798.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,460.36 / $2,060.92 / $2,223.73	Facility		$1,460.36	$2,060.92	$2,223.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.20 / $1,516.78 / $2,513.62	Facility		$1,487.20	$1,516.78	$2,513.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,023.10 / $16,586.25 / $31,745.76	Facility		$12,023.10	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,177.97 / $25,368.15 / $47,618.64	Facility	50	$19,177.97	$25,368.15	$47,618.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00