Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.47 / $13,022.88 / $26,563.55	Facility		$665.47	$13,022.88	$26,563.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,576.41 / $24,318.17 / $32,048.47	Facility	50	$6,576.41	$24,318.17	$32,048.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $18,231.29 / $37,102.31	Facility		$5,897.00	$18,231.29	$37,102.31
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $21,234.27 / $29,093.97 / $56,285.37	Facility	50	$21,234.27	$29,093.97	$56,285.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,448.94 / $3,448.94 / $5,745.89	Facility		$3,448.94	$3,448.94	$5,745.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $651.36 / $1,163.49 / $17,754.22	Facility		$651.36	$1,163.49	$17,754.22
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $17,754.22 / $18,498.43 / $44,507.16	Facility	50	$17,754.22	$18,498.43	$44,507.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.72 / $964.21 / $1,000.28	Facility		$654.72	$964.21	$1,000.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.36 / $680.02 / $2,096.73	Facility		$666.36	$680.02	$2,096.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,152.94 / $19,384.89 / $37,102.31	Facility		$14,152.94	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $21,229.41 / $29,077.34 / $55,653.47	Facility	50	$21,229.41	$29,077.34	$55,653.47
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