Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.40 / $12,214.00 / $26,680.66	Facility		$593.40	$12,214.00	$26,680.66
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,897.00 / $18,741.00 / $27,409.84	Facility	50	$2,897.00	$18,741.00	$27,409.84
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 $579.85 / $1,035.83 / $17,754.22	Facility		$579.85	$1,035.83	$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 $620.84 / $860.36 / $890.12	Facility		$620.84	$860.36	$890.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.98 / $606.90 / $2,096.73	Facility		$592.98	$606.90	$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