Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.76 / $5,128.00 / $20,680.40	Facility		$840.76	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $25,560.89	Facility		$4,938.64	$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
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $535.04 / $889.94 / $889.94	Facility	AS	$535.04	$889.94	$889.94
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 $569.52 / $962.00 / $5,967.13	Facility		$569.52	$962.00	$5,967.13
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,967.13 / $9,669.36 / $23,264.42	Facility	50	$5,967.13	$9,669.36	$23,264.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $633.73 / $876.36 / $931.60	Facility		$633.73	$876.36	$931.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.61 / $634.32 / $1,470.05	Facility		$620.61	$634.32	$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 $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00