Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.61 / $5,234.10 / $19,900.00	Facility		$232.61	$5,234.10	$19,900.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $318.99 / $5,897.00 / $32,000.00	Facility		$318.99	$5,897.00	$32,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $16,409.07 / $16,409.07 / $16,409.07	Facility	50	$16,409.07	$16,409.07	$16,409.07
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $31.86 / $105.67 / $105.67	Facility	AS	$31.86	$105.67	$105.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,500.00	Facility		$2,000.00	$2,285.42	$2,500.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $180.42 / $365.68 / $521.87	Facility		$180.42	$365.68	$521.87
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $12,906.11 / $12,906.11 / $12,906.11	Facility	50	$12,906.11	$12,906.11	$12,906.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.60 / $382.48 / $467.66	Facility		$280.60	$382.48	$467.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.49 / $255.49 / $318.99	Facility		$255.49	$255.49	$318.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,683.09 / $8,683.09 / $10,939.38	Facility		$8,683.09	$8,683.09	$10,939.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,024.64 / $13,024.64 / $16,409.07	Facility	50	$13,024.64	$13,024.64	$16,409.07
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00