Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.23 / $6,882.32 / $17,930.00	Facility		$453.23	$6,882.32	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $14,934.15	Facility		$3,518.34	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,613.49 / $8,658.17 / $16,750.13	Facility	50	$6,613.49	$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 $423.61 / $743.25 / $5,967.13	Facility		$423.61	$743.25	$5,967.13
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,967.13 / $6,254.64 / $15,048.64	Facility	50	$5,967.13	$6,254.64	$15,048.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $480.20 / $621.09 / $649.90	Facility		$480.20	$621.09	$649.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.54 / $443.29 / $839.66	Facility		$428.54	$443.29	$839.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,317.72 / $8,653.21 / $16,562.09	Facility	50	$6,317.72	$8,653.21	$16,562.09
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