Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.07 / $5,128.00 / $35,131.94	Facility		$958.07	$5,128.00	$35,131.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,394.00 / $61,957.43 / $118,585.34	Facility		$16,394.00	$61,957.43	$118,585.34
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $71,029.28 / $92,989.29 / $179,897.69	Facility	50	$71,029.28	$92,989.29	$179,897.69
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $6,497.61 / $10,807.58 / $10,807.58	Facility	AS	$6,497.61	$10,807.58	$10,807.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,580.64 / $28,580.64 / $47,615.02	Facility		$28,580.64	$28,580.64	$47,615.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $658.56 / $1,223.86 / $53,814.07	Facility		$658.56	$1,223.86	$53,814.07
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $53,814.07 / $67,706.25 / $162,900.93	Facility	50	$53,814.07	$67,706.25	$162,900.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $739.27 / $1,004.33 / $1,085.40	Facility		$739.27	$1,004.33	$1,085.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.30 / $740.34 / $19,130.04	Facility		$710.30	$740.34	$19,130.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45,235.22 / $61,957.43 / $118,585.34	Facility		$45,235.22	$61,957.43	$118,585.34
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $67,852.83 / $92,936.15 / $177,878.02	Facility	50	$67,852.83	$92,936.15	$177,878.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $19,294.00 / $37,152.00	Facility		$4,252.00	$19,294.00	$37,152.00