Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.11 / $2,769.52 / $14,464.32	Facility		$746.11	$2,769.52	$14,464.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,707.90 / $16,707.90 / $16,707.90	Facility	50	$16,707.90	$16,707.90	$16,707.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,403.47	Facility		$1,241.82	$7,873.79	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $8,704.54 / $12,078.71 / $23,367.54	Facility	50	$8,704.54	$12,078.71	$23,367.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $2,846.84	Facility		$421.10	$731.00	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $444.50 / $734.11 / $2,018.24	Facility		$444.50	$734.11	$2,018.24
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,008.05 / $8,172.30 / $19,662.53	Facility	50	$6,008.05	$8,172.30	$19,662.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.55 / $922.59 / $1,756.22	Facility		$587.55	$922.59	$1,756.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.67 / $762.73 / $1,241.82	Facility		$735.67	$762.73	$1,241.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,832.51 / $12,071.81 / $23,105.21	Facility	50	$7,832.51	$12,071.81	$23,105.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00