Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.33 / $2,080.86 / $12,214.00	Facility		$343.33	$2,080.86	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $5,425.50 / $11,041.39	Facility		$839.66	$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 $306.29 / $1,176.42 / $2,370.87	Facility		$306.29	$1,176.42	$2,370.87
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,914.35 / $2,768.63 / $5,552.03	Facility	50	$1,914.35	$2,768.63	$5,552.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $400.44 / $1,599.99 / $1,889.40	Facility		$400.44	$1,599.99	$1,889.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $1,221.09 / $1,271.57	Facility		$839.66	$1,221.09	$1,271.57
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 $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00