Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.06 / $6,105.00 / $21,280.69	Facility		$268.06	$6,105.00	$21,280.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,394.00 / $25,857.28 / $25,857.28	Facility	50	$7,394.00	$25,857.28	$25,857.28
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 $280.85 / $486.09 / $7,779.83	Facility		$280.85	$486.09	$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 $328.30 / $390.15 / $463.93	Facility		$328.30	$390.15	$463.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.18 / $274.20 / $2,096.73	Facility		$268.18	$274.20	$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