Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.02 / $3,048.84 / $18,359.89	Facility		$457.02	$3,048.84	$18,359.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.05 / $9,286.14 / $18,898.13	Facility		$1,470.05	$9,286.14	$18,898.13
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $9,119.20 / $14,819.07 / $28,669.05	Facility	50	$9,119.20	$14,819.07	$28,669.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $406.57 / $1,605.29 / $3,438.40	Facility		$406.57	$1,605.29	$3,438.40
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,498.43 / $8,287.44 / $15,048.64	Facility	50	$5,498.43	$8,287.44	$15,048.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.17 / $2,010.00 / $2,358.40	Facility		$503.17	$2,010.00	$2,358.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,470.05 / $1,520.90 / $1,580.97	Facility		$1,470.05	$1,520.90	$1,580.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,119.20 / $14,810.60 / $28,347.20	Facility	50	$9,119.20	$14,810.60	$28,347.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00