Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.52 / $5,128.00 / $20,680.40	Facility		$290.52	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $246.43 / $2,538.00 / $26,542.00	Facility		$246.43	$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 $179.52 / $224.40 / $417.65	Facility		$179.52	$224.40	$417.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.11 / $298.82 / $368.50	Facility		$215.11	$298.82	$368.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.43 / $246.43 / $251.35	Facility		$246.43	$246.43	$251.35
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