Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.63 / $4,557.25 / $18,711.00	Facility		$240.63	$4,557.25	$18,711.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,848.16 / $12,239.10 / $16,821.39	Facility	50	$3,848.16	$12,239.10	$16,821.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,010.16 / $10,612.45 / $26,542.00	Facility		$6,010.16	$10,612.45	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,030.82 / $15,918.68 / $30,796.38	Facility	50	$10,030.82	$15,918.68	$30,796.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.44 / $425.33 / $7,779.83	Facility		$239.44	$425.33	$7,779.83
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $7,779.83 / $9,245.96 / $22,245.75	Facility	50	$7,779.83	$9,245.96	$22,245.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.64 / $350.60 / $382.53	Facility		$279.64	$350.60	$382.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.73 / $245.41 / $1,366.31	Facility		$238.73	$245.41	$1,366.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $10,606.39 / $20,300.41	Facility		$6,881.70	$10,606.39	$20,300.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,322.54 / $15,909.59 / $30,450.63	Facility	50	$10,322.54	$15,909.59	$30,450.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00