Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.46 / $4,912.59 / $22,024.00	Facility		$651.46	$4,912.59	$22,024.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,388.62 / $13,947.50 / $25,596.00	Facility	50	$5,388.62	$13,947.50	$25,596.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.93 / $788.91 / $2,967.90	Professional	50	$233.93	$788.91	$2,967.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $866.05 / $866.05 / $1,046.08	Professional	50	$866.05	$866.05	$1,046.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,754.30 / $12,328.50 / $20,574.02	Facility		$3,754.30	$12,328.50	$20,574.02
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $16,018.07 / $23,359.80 / $45,192.02	Facility	50	$16,018.07	$23,359.80	$45,192.02
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $857.66 / $2,806.29 / $5,704.54	Professional	50	$857.66	$2,806.29	$5,704.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $2,309.92 / $5,474.27	Facility		$512.00	$2,309.92	$5,474.27
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $13,984.77 / $19,774.45 / $35,907.16	Facility	50	$13,984.77	$19,774.45	$35,907.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,500.36 / $3,650.35 / $4,105.76	Facility		$1,500.36	$3,650.35	$4,105.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.76 / $2,787.76 / $2,800.50	Facility		$2,787.76	$2,787.76	$2,800.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,566.28 / $15,564.30 / $29,789.77	Facility		$10,566.28	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $15,849.42 / $23,346.45 / $44,684.66	Facility	50	$15,849.42	$23,346.45	$44,684.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,851.00 / $20,708.00	Facility		$3,028.00	$5,851.00	$20,708.00