Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.78 / $5,128.00 / $20,680.40	Facility		$441.78	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $318.01 / $2,538.00 / $26,542.00	Facility		$318.01	$2,538.00	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,848.18 / $7,848.18 / $7,848.18	Facility	50	$7,848.18	$7,848.18	$7,848.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $358.50 / $436.50 / $733.62	Facility		$358.50	$436.50	$733.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $422.00 / $596.04	Facility		$204.96	$422.00	$596.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $318.01 / $318.01	Facility		$210.68	$318.01	$318.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,152.97 / $4,152.97 / $5,232.12	Facility		$4,152.97	$4,152.97	$5,232.12
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,229.47 / $6,229.47 / $7,848.18	Facility	50	$6,229.47	$6,229.47	$7,848.18
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00