Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.57 / $6,470.00 / $18,800.00	Facility		$1,077.57	$6,470.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $973.87 / $6,622.22 / $14,645.34	Facility		$973.87	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,634.41 / $9,933.33 / $19,217.09	Facility	50	$6,634.41	$9,933.33	$19,217.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,430.19	Facility		$734.00	$734.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $884.40 / $1,229.99 / $2,203.12	Facility		$884.40	$1,229.99	$2,203.12
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,752.58 / $6,328.28 / $15,568.54	Facility	50	$5,752.58	$6,328.28	$15,568.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,041.74 / $1,375.51 / $1,449.21	Facility		$1,041.74	$1,375.51	$1,449.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $943.15 / $973.87	Facility		$925.25	$943.15	$973.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,441.32 / $9,927.65 / $19,001.34	Facility	50	$6,441.32	$9,927.65	$19,001.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $2,136.00 / $10,522.00	Facility		$1,220.00	$2,136.00	$10,522.00