Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.48 / $5,116.62 / $20,680.40	Facility		$467.48	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $344.73 / $2,538.00 / $26,542.00	Facility		$344.73	$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 $390.00 / $473.50 / $795.88	Facility		$390.00	$473.50	$795.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.45 / $457.85 / $663.40	Facility		$329.45	$457.85	$663.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.74 / $344.73 / $344.73	Facility		$273.74	$344.73	$344.73
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