Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.58 / $1,599.65 / $20,680.40	Facility		$729.58	$1,599.65	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $792.75 / $9,636.87 / $18,444.79	Facility		$792.75	$9,636.87	$18,444.79
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,540.07 / $14,463.57 / $27,981.33	Facility	50	$10,540.07	$14,463.57	$27,981.33
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $628.46 / $1,045.32 / $1,045.32	Facility	AS	$628.46	$1,045.32	$1,045.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,764.35 / $2,764.35 / $4,605.38	Facility		$2,764.35	$2,764.35	$4,605.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $715.04 / $1,210.64 / $5,460.95	Facility		$715.04	$1,210.64	$5,460.95
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,460.95 / $10,231.82 / $24,617.71	Facility	50	$5,460.95	$10,231.82	$24,617.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $800.17 / $1,111.53 / $1,208.68	Facility		$800.17	$1,111.53	$1,208.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.75 / $824.43 / $1,929.00	Facility		$792.75	$824.43	$1,929.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,354.08 / $9,642.37 / $18,444.79	Facility		$6,354.08	$9,642.37	$18,444.79
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,531.12 / $14,463.57 / $27,667.19	Facility	50	$9,531.12	$14,463.57	$27,667.19
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