Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.65 / $1,803.29 / $17,930.00	Facility		$831.65	$1,803.29	$17,930.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,352.00 / $6,964.00 / $10,681.49	Facility	50	$1,352.00	$6,964.00	$10,681.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,520.82 / $10,802.03 / $20,663.07	Facility		$6,520.82	$10,802.03	$20,663.07
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,735.34 / $16,203.05 / $31,346.52	Facility	50	$10,735.34	$16,203.05	$31,346.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $809.34 / $1,362.73 / $8,528.74	Facility		$809.34	$1,362.73	$8,528.74
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,528.74 / $9,505.52 / $22,870.24	Facility	50	$8,528.74	$9,505.52	$22,870.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $882.27 / $1,220.07 / $1,303.82	Facility		$882.27	$1,220.07	$1,303.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $866.59 / $889.32 / $1,239.50	Facility		$866.59	$889.32	$1,239.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,156.89 / $10,795.86 / $20,663.07	Facility		$7,156.89	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,735.34 / $16,193.79 / $30,994.61	Facility	50	$10,735.34	$16,193.79	$30,994.61
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