Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.03 / $4,011.00 / $18,711.00	Facility		$1,381.03	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,392.97 / $5,682.43 / $12,100.72	Facility		$3,392.97	$5,682.43	$12,100.72
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,971.22 / $8,207.42 / $15,878.12	Facility	50	$5,971.22	$8,207.42	$15,878.12
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $298.95 / $497.27 / $497.27	Facility	AS	$298.95	$497.27	$497.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,190.81	Facility		$625.25	$761.81	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $675.80 / $1,408.46 / $2,144.92	Facility		$675.80	$1,408.46	$2,144.92
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,809.85 / $5,945.69 / $14,305.29	Facility	50	$4,809.85	$5,945.69	$14,305.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $979.67 / $1,366.80 / $1,555.74	Facility		$979.67	$1,366.80	$1,555.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $1,017.44 / $1,795.87	Facility		$598.07	$1,017.44	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,870.72 / $8,202.71 / $15,699.86	Facility	50	$5,870.72	$8,202.71	$15,699.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $6,984.25 / $11,261.00	Facility		$2,408.00	$6,984.25	$11,261.00