Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.46 / $6,470.00 / $18,711.00	Facility		$358.46	$6,470.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.74 / $9,879.37 / $25,560.89	Facility		$5,555.74	$9,879.37	$25,560.89
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 $348.85 / $665.98 / $6,254.64	Facility		$348.85	$665.98	$6,254.64
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,254.64 / $8,287.44 / $15,048.64	Facility	50	$6,254.64	$8,287.44	$15,048.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $417.97 / $546.54 / $584.12	Facility		$417.97	$546.54	$584.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.37 / $382.97 / $1,470.05	Facility		$372.37	$382.97	$1,470.05
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