Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.82 / $4,025.84 / $17,100.00	Facility		$278.82	$4,025.84	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $4,266.04 / $8,681.78	Facility		$208.83	$4,266.04	$8,681.78
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $4,233.22 / $6,807.86 / $13,170.53	Facility	50	$4,233.22	$6,807.86	$13,170.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $372.72 / $1,436.16	Facility		$210.74	$372.72	$1,436.16
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,398.53 / $3,447.33 / $6,259.79	Facility	50	$1,398.53	$3,447.33	$6,259.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.35 / $295.22 / $343.71	Facility		$252.35	$295.22	$343.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $209.76 / $574.02	Facility		$208.83	$209.76	$574.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,943.06 / $4,535.97 / $8,681.78	Facility		$2,943.06	$4,535.97	$8,681.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,414.59 / $6,803.97 / $13,022.67	Facility	50	$4,414.59	$6,803.97	$13,022.67
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00