Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.29 / $1,179.94 / $18,711.00	Facility		$613.29	$1,179.94	$18,711.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,570.00 / $3,570.00 / $3,570.00	Professional	50	$3,570.00	$3,570.00	$3,570.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $5,167.93 / $11,429.12	Facility		$1,040.51	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,921.24 / $7,751.91 / $14,996.88	Facility	50	$5,921.24	$7,751.91	$14,996.88
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $940.54 / $1,190.66 / $1,190.66	Professional	50	$940.54	$1,190.66	$1,190.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $502.65 / $790.17 / $1,565.69	Facility		$502.65	$790.17	$1,565.69
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,429.81 / $5,601.66 / $13,064.10	Facility	50	$5,429.81	$5,601.66	$13,064.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $612.41 / $846.88 / $931.97	Facility		$612.41	$846.88	$931.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.25 / $635.69 / $1,040.51	Facility		$619.25	$635.69	$1,040.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,656.44 / $7,751.91 / $14,828.52	Facility	50	$5,656.44	$7,751.91	$14,828.52
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00