Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,503.67 / $10,180.24 / $24,498.00	Facility		$1,503.67	$10,180.24	$24,498.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20,960.72 / $20,960.72 / $20,960.72	Facility	50	$20,960.72	$20,960.72	$20,960.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $17,370.36 / $35,350.23	Facility		$5,897.00	$17,370.36	$35,350.23
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $17,989.66 / $27,720.06 / $53,627.40	Facility	50	$17,989.66	$27,720.06	$53,627.40
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $867.02 / $1,442.13 / $1,442.13	Facility	AS	$867.02	$1,442.13	$1,442.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.70 / $3,813.70 / $6,353.58	Facility		$3,813.70	$3,813.70	$6,353.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,459.50 / $2,528.58 / $11,313.58	Facility		$1,459.50	$2,528.58	$11,313.58
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $11,313.58 / $16,807.21 / $40,438.06	Facility	50	$11,313.58	$16,807.21	$40,438.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,671.88 / $2,272.53 / $2,381.85	Facility		$1,671.88	$2,272.53	$2,381.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,598.64 / $1,598.64 / $1,624.64	Facility		$1,598.64	$1,598.64	$1,624.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,983.48 / $18,469.48 / $35,350.23	Facility		$11,983.48	$18,469.48	$35,350.23
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $17,975.22 / $27,704.22 / $53,025.35	Facility	50	$17,975.22	$27,704.22	$53,025.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00