Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.40 / $4,500.00 / $18,711.00	Facility		$864.40	$4,500.00	$18,711.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,657.47 / $12,319.00 / $19,629.52	Facility	50	$4,657.47	$12,319.00	$19,629.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,520.82 / $10,802.03 / $26,542.00	Facility		$6,520.82	$10,802.03	$26,542.00
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 $840.84 / $1,477.49 / $8,528.74	Facility		$840.84	$1,477.49	$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 $955.43 / $1,320.50 / $1,356.75	Facility		$955.43	$1,320.50	$1,356.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $899.21 / $925.43 / $1,239.50	Facility		$899.21	$925.43	$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