Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.18 / $7,863.94 / $22,024.00	Facility		$659.18	$7,863.94	$22,024.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $18,048.82 / $18,048.82 / $18,048.82	Facility	50	$18,048.82	$18,048.82	$18,048.82
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 $446.46 / $813.78 / $7,779.83	Facility		$446.46	$813.78	$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 $531.50 / $697.37 / $721.05	Facility		$531.50	$697.37	$721.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.73 / $491.73 / $1,366.31	Facility		$479.73	$491.73	$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