Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.49 / $6,259.76 / $34,055.00	Facility		$974.49	$6,259.76	$34,055.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.75 / $35,416.21 / $51,832.47	Facility	50	$3,715.75	$35,416.21	$51,832.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,735.84 / $17,321.89 / $35,350.23	Facility		$10,735.84	$17,321.89	$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
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 $877.55 / $2,018.31 / $11,313.58	Facility		$877.55	$2,018.31	$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 $1,154.80 / $1,489.41 / $1,934.29	Facility		$1,154.80	$1,489.41	$1,934.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.53 / $1,045.16 / $2,373.40	Facility		$1,016.53	$1,045.16	$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 / $4,383.00 / $17,644.00	Facility		$2,912.00	$4,383.00	$17,644.00