Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.33 / $1,349.87 / $12,214.00	Facility		$149.33	$1,349.87	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $742.63 / $5,425.50 / $11,041.39	Facility		$742.63	$5,425.50	$11,041.39
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,367.49 / $8,658.17 / $16,750.13	Facility	50	$6,367.49	$8,658.17	$16,750.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $766.27 / $1,870.31	Facility		$132.43	$766.27	$1,870.31
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,102.09 / $6,254.64 / $15,048.64	Facility	50	$4,102.09	$6,254.64	$15,048.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $397.69 / $1,012.63 / $1,168.24	Facility		$397.69	$1,012.63	$1,168.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.63 / $786.41 / $839.66	Facility		$742.63	$786.41	$839.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,742.95 / $5,768.81 / $11,041.39	Facility		$3,742.95	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,614.43 / $8,653.21 / $16,562.09	Facility	50	$5,614.43	$8,653.21	$16,562.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,740.00 / $7,326.64 / $11,719.14	Facility		$3,740.00	$7,326.64	$11,719.14