Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.86 / $8,878.56 / $34,216.17	Facility		$1,401.86	$8,878.56	$34,216.17
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,319.00 / $27,098.16 / $38,249.40	Facility	50	$12,319.00	$27,098.16	$38,249.40
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 $1,362.90 / $2,462.31 / $11,313.58	Facility		$1,362.90	$2,462.31	$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 $1,549.87 / $2,125.23 / $2,199.61	Facility		$1,549.87	$2,125.23	$2,199.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,464.55 / $1,500.33 / $2,373.40	Facility		$1,464.55	$1,500.33	$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 $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00