Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.62 / $2,769.52 / $13,750.00	Facility		$269.62	$2,769.52	$13,750.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $665.75 / $3,303.00 / $8,584.00	Facility	50	$665.75	$3,303.00	$8,584.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $291.11 / $3,235.34	Facility		$55.00	$291.11	$3,235.34
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $4,853.01 / $4,853.01 / $4,853.01	Facility	50	$4,853.01	$4,853.01	$4,853.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $357.07 / $553.53	Facility		$264.64	$357.07	$553.53
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,275.68 / $4,275.68 / $4,275.68	Facility	50	$4,275.68	$4,275.68	$4,275.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $411.68 / $427.72	Facility		$306.00	$411.68	$427.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.20 / $287.20 / $291.11	Facility		$287.20	$287.20	$291.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,568.04 / $2,568.04 / $3,235.34	Facility		$2,568.04	$2,568.04	$3,235.34
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,852.06 / $3,852.06 / $4,853.01	Facility	50	$3,852.06	$3,852.06	$4,853.01
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00