Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.82 / $5,132.00 / $22,024.00	Facility		$743.82	$5,132.00	$22,024.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,636.86 / $7,636.86 / $8,331.12	Facility	50	$7,636.86	$7,636.86	$8,331.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,339.48 / $9,118.81 / $20,178.18	Facility		$3,339.48	$9,118.81	$20,178.18
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $8,166.45 / $13,686.03 / $26,477.09	Facility	50	$8,166.45	$13,686.03	$26,477.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,302.92	Facility		$1,005.16	$1,223.70	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $374.15 / $810.30 / $2,896.56	Facility		$374.15	$810.30	$2,896.56
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,358.93 / $8,515.74 / $19,889.25	Facility	50	$4,358.93	$8,515.74	$19,889.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $526.65 / $743.03 / $808.02	Facility		$526.65	$743.03	$808.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.10 / $551.14 / $2,412.73	Facility		$529.10	$551.14	$2,412.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,874.78 / $13,651.88 / $26,179.83	Facility	50	$8,874.78	$13,651.88	$26,179.83
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00