Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.67 / $10,122.46 / $38,695.30	Facility		$762.67	$10,122.46	$38,695.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,557.25 / $15,159.82 / $38,695.30	Facility	50	$4,557.25	$15,159.82	$38,695.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,670.55 / $19,913.50 / $38,781.51	Facility		$4,670.55	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $20,860.50 / $30,410.72 / $58,832.76	Facility	50	$20,860.50	$30,410.72	$58,832.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $8,315.84	Facility		$644.92	$1,110.00	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $773.52 / $1,291.98 / $7,606.52	Facility		$773.52	$1,291.98	$7,606.52
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $11,896.44 / $19,857.63 / $47,777.37	Facility	50	$11,896.44	$19,857.63	$47,777.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.19 / $1,106.29 / $5,304.46	Facility		$865.19	$1,106.29	$5,304.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.43 / $774.62 / $4,670.55	Facility		$752.43	$774.62	$4,670.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,719.99 / $30,393.33 / $58,172.27	Facility	50	$19,719.99	$30,393.33	$58,172.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,478.00 / $16,315.00	Facility		$1,615.00	$3,478.00	$16,315.00