Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.47 / $11,522.02 / $27,008.92	Facility		$1,092.47	$11,522.02	$27,008.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,704.00 / $23,920.50 / $35,324.64	Facility	50	$13,704.00	$23,920.50	$35,324.64
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
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 $993.30 / $1,667.34 / $11,313.58	Facility		$993.30	$1,667.34	$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 $1,077.53 / $1,490.75 / $1,628.77	Facility		$1,077.53	$1,490.75	$1,628.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.31 / $1,110.97 / $2,373.40	Facility		$1,081.31	$1,110.97	$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