Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.09 / $8,369.76 / $18,711.00	Facility		$661.09	$8,369.76	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $25,560.89	Facility		$5,968.10	$9,879.37	$25,560.89
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 $454.10 / $873.05 / $6,620.15	Facility		$454.10	$873.05	$6,620.15
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,620.15 / $9,669.36 / $23,264.42	Facility	50	$6,620.15	$9,669.36	$23,264.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $567.10 / $710.46 / $752.60	Facility		$567.10	$710.46	$752.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.16 / $497.67 / $1,470.05	Facility		$485.16	$497.67	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,873.73 / $18,898.13	Facility		$6,406.33	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,609.50 / $14,810.60 / $28,347.20	Facility	50	$9,609.50	$14,810.60	$28,347.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,519.00 / $12,335.51 / $19,730.93	Facility		$5,519.00	$12,335.51	$19,730.93