Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.69 / $3,354.00 / $18,711.00	Facility		$616.69	$3,354.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,801.49 / $9,286.14 / $18,898.13	Facility		$1,801.49	$9,286.14	$18,898.13
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,712.31 / $14,819.07 / $28,669.05	Facility	50	$10,712.31	$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 $541.17 / $1,907.00 / $3,815.66	Facility		$541.17	$1,907.00	$3,815.66
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,188.74 / $9,669.36 / $23,264.42	Facility	50	$8,188.74	$9,669.36	$23,264.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $2,531.26 / $2,810.44	Facility		$670.00	$2,531.26	$2,810.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,801.49 / $1,872.25 / $1,920.81	Facility		$1,801.49	$1,872.25	$1,920.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,529.68 / $9,873.73 / $18,898.13	Facility		$6,529.68	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,794.52 / $14,810.60 / $28,347.20	Facility	50	$9,794.52	$14,810.60	$28,347.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00