Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $202.37 / $20,680.40	Facility		$74.11	$202.37	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $97.34 / $2,581.55 / $4,941.05	Facility		$97.34	$2,581.55	$4,941.05
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,799.32 / $3,874.55 / $7,495.73	Facility	50	$2,799.32	$3,874.55	$7,495.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,440.97	Facility		$466.83	$568.48	$1,440.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $158.41 / $1,263.68	Facility		$78.79	$158.41	$1,263.68
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,907.75 / $2,550.75 / $5,846.21	Facility	50	$1,907.75	$2,550.75	$5,846.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.89 / $136.66 / $142.71	Facility		$100.89	$136.66	$142.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.18 / $97.34 / $1,207.23	Facility		$80.18	$97.34	$1,207.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,512.46 / $3,872.33 / $7,411.58	Facility	50	$2,512.46	$3,872.33	$7,411.58
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00