Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.97 / $6,470.00 / $22,024.00	Facility		$547.97	$6,470.00	$22,024.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,503.50 / $2,503.50 / $2,503.50	Facility	22	$2,503.50	$2,503.50	$2,503.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,373.00 / $12,609.62 / $37,496.79	Facility	50	$4,373.00	$12,609.62	$37,496.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,296.15 / $19,395.98 / $37,102.31	Facility		$11,296.15	$19,395.98	$37,102.31
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $18,840.11 / $29,093.97 / $56,285.37	Facility	50	$18,840.11	$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 $539.50 / $950.05 / $7,779.83	Facility		$539.50	$950.05	$7,779.83
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $7,779.83 / $16,834.43 / $39,920.99	Facility	50	$7,779.83	$16,834.43	$39,920.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $619.85 / $744.60 / $967.48	Facility		$619.85	$744.60	$967.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.83 / $515.04 / $2,096.73	Facility		$502.83	$515.04	$2,096.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $18,866.13 / $29,077.34 / $55,653.47	Facility	50	$18,866.13	$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