Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.26 / $2,654.08 / $20,680.40	Facility		$1,258.26	$2,654.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $14,638.06 / $29,789.77	Facility		$1,359.00	$14,638.06	$29,789.77
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $16,018.07 / $23,359.80 / $45,192.02	Facility	50	$16,018.07	$23,359.80	$45,192.02
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $744.38 / $1,314.53 / $1,314.53	Facility	AS	$744.38	$1,314.53	$1,314.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,419.33 / $2,264.52 / $10,488.49	Facility		$1,419.33	$2,264.52	$10,488.49
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $10,488.49 / $19,774.45 / $35,907.16	Facility	50	$10,488.49	$19,774.45	$35,907.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,463.19 / $1,887.21 / $2,044.84	Facility		$1,463.19	$1,887.21	$2,044.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $1,359.00 / $1,367.80	Facility		$1,359.00	$1,359.00	$1,367.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $15,147.78 / $23,346.45 / $44,684.66	Facility	50	$15,147.78	$23,346.45	$44,684.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00