Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.92 / $5,128.00 / $20,680.40	Facility		$916.92	$5,128.00	$20,680.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,512.18 / $16,971.41 / $31,446.00	Facility	50	$13,512.18	$16,971.41	$31,446.00
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 $960.63 / $1,684.65 / $8,528.74	Facility		$960.63	$1,684.65	$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 $1,092.06 / $1,399.04 / $1,524.92	Facility		$1,092.06	$1,399.04	$1,524.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.02 / $979.35 / $1,239.50	Facility		$954.02	$979.35	$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