Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,779.51 / $5,128.00 / $22,024.00	Facility		$1,779.51	$5,128.00	$22,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $889.76 / $1,575.68 / $6,963.66	Facility	52	$889.76	$1,575.68	$6,963.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,930.37 / $34,332.32 / $70,064.83	Facility		$1,930.37	$34,332.32	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $35,835.94 / $54,941.69 / $106,290.54	Facility	50	$35,835.94	$54,941.69	$106,290.54
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,574.81 / $5,159.08 / $5,159.08	Facility	52	$1,574.81	$5,159.08	$5,159.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $196.85 / $644.89 / $644.89	Facility	AS	$196.85	$644.89	$644.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,351.70 / $2,815.80 / $4,260.00	Facility		$1,351.70	$2,815.80	$4,260.00
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $44,948.87 / $46,833.03 / $112,680.05	Facility	50	$44,948.87	$46,833.03	$112,680.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,987.93 / $2,717.52 / $2,830.08	Facility		$1,987.93	$2,717.52	$2,830.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.67 / $1,930.37 / $19,515.89	Facility		$1,882.67	$1,930.37	$19,515.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,726.72 / $36,627.79 / $70,064.83	Facility		$26,726.72	$36,627.79	$70,064.83
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $40,090.08 / $54,941.69 / $105,097.25	Facility	50	$40,090.08	$54,941.69	$105,097.25
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