Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.44 / $5,116.62 / $22,024.00	Facility		$1,443.44	$5,116.62	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $19,823.93 / $38,781.51	Facility		$5,897.00	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $20,860.50 / $30,410.72 / $58,832.76	Facility	50	$20,860.50	$30,410.72	$58,832.76
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $8,315.84	Facility		$2,000.00	$2,285.42	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,234.96 / $2,484.00 / $7,292.72	Facility		$1,234.96	$2,484.00	$7,292.72
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $12,906.11 / $19,857.63 / $47,777.37	Facility	50	$12,906.11	$19,857.63	$47,777.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,658.16 / $2,130.08 / $2,328.32	Facility		$1,658.16	$2,130.08	$2,328.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,526.38 / $1,560.59 / $6,526.97	Facility		$1,526.38	$1,560.59	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,719.99 / $30,393.33 / $58,172.27	Facility	50	$19,719.99	$30,393.33	$58,172.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00