Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.18 / $6,320.00 / $18,711.00	Facility		$1,017.18	$6,320.00	$18,711.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,364.38 / $31,535.48 / $35,324.64	Facility	50	$6,364.38	$31,535.48	$35,324.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,735.84 / $18,480.04 / $35,350.23	Facility		$10,735.84	$18,480.04	$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 $979.11 / $1,685.19 / $8,528.74	Facility		$979.11	$1,685.19	$8,528.74
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,528.74 / $16,807.21 / $40,438.06	Facility	50	$8,528.74	$16,807.21	$40,438.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,114.26 / $1,484.72 / $1,598.62	Facility		$1,114.26	$1,484.72	$1,598.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,061.38 / $1,090.40 / $2,373.40	Facility		$1,061.38	$1,090.40	$2,373.40
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 $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00