Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.89 / $5,132.00 / $20,680.40	Facility		$1,199.89	$5,132.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,293.77 / $13,873.67 / $27,141.02	Facility		$1,293.77	$13,873.67	$27,141.02
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $16,543.65 / $21,282.77 / $41,173.79	Facility	50	$16,543.65	$21,282.77	$41,173.79
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.47 / $432.80 / $432.80	Facility	AS	$131.47	$432.80	$432.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,198.93 / $2,090.50 / $17,411.84	Facility		$1,198.93	$2,090.50	$17,411.84
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $17,411.84 / $18,141.72 / $43,648.89	Facility	50	$17,411.84	$18,141.72	$43,648.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,433.64 / $1,802.04 / $1,942.08	Facility		$1,433.64	$1,802.04	$1,942.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,293.77 / $1,293.77 / $1,307.02	Facility		$1,293.77	$1,293.77	$1,307.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,837.80 / $14,188.51 / $27,141.02	Facility		$10,837.80	$14,188.51	$27,141.02
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $16,256.70 / $21,282.77 / $40,711.53	Facility	50	$16,256.70	$21,282.77	$40,711.53
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