Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.69 / $7,920.26 / $31,764.56	Facility		$1,189.69	$7,920.26	$31,764.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $44,845.42 / $44,845.42 / $44,845.42	Facility	50	$44,845.42	$44,845.42	$44,845.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.16 / $52,812.50 / $101,024.36	Facility		$1,126.16	$52,812.50	$101,024.36
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $60,510.74 / $80,572.34 / $153,257.13	Facility	50	$60,510.74	$80,572.34	$153,257.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,905.43 / $8,159.30 / $8,159.30	Facility	AS	$4,905.43	$8,159.30	$8,159.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $35,947.48	Facility		$714.97	$870.49	$35,947.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $631.17 / $1,279.08 / $31,524.76	Facility		$631.17	$1,279.08	$31,524.76
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $37,317.60 / $65,543.99 / $134,542.79	Facility	50	$37,317.60	$65,543.99	$134,542.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,020.25 / $1,568.74 / $1,697.78	Facility		$1,020.25	$1,568.74	$1,697.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,104.10 / $1,126.16 / $29,491.80	Facility		$1,104.10	$1,126.16	$29,491.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38,536.44 / $52,812.50 / $101,024.36	Facility		$38,536.44	$52,812.50	$101,024.36
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $57,804.68 / $79,218.75 / $151,536.54	Facility	50	$57,804.68	$79,218.75	$151,536.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00