Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.09 / $8,043.94 / $18,711.00	Facility		$1,501.09	$8,043.94	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,889.49 / $16,435.34 / $31,795.95	Facility	50	$10,889.49	$16,435.34	$31,795.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $3,759.09	Facility		$906.00	$906.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $917.12 / $1,751.15 / $3,376.68	Facility		$917.12	$1,751.15	$3,376.68
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $9,510.91 / $10,462.73 / $25,389.69	Facility	50	$9,510.91	$10,462.73	$25,389.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.24 / $1,482.71 / $1,617.38	Facility		$1,055.24	$1,482.71	$1,617.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.97 / $1,074.97 / $1,103.20	Facility		$1,074.97	$1,074.97	$1,103.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,657.59 / $16,425.96 / $31,438.98	Facility	50	$10,657.59	$16,425.96	$31,438.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00