Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.29 / $9,028.92 / $18,300.15	Facility		$604.29	$9,028.92	$18,300.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,192.48 / $8,192.48 / $8,192.48	Facility	50	$8,192.48	$8,192.48	$8,192.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $602.04 / $10,153.40 / $20,663.07	Facility		$602.04	$10,153.40	$20,663.07
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $12,376.59 / $16,203.05 / $31,346.52	Facility	50	$12,376.59	$16,203.05	$31,346.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $497.14 / $826.90 / $826.90	Facility	AS	$497.14	$826.90	$826.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $570.74 / $1,028.15 / $10,278.44	Facility		$570.74	$1,028.15	$10,278.44
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $10,278.44 / $10,709.29 / $25,766.49	Facility	50	$10,278.44	$10,709.29	$25,766.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $632.05 / $867.34 / $905.84	Facility		$632.05	$867.34	$905.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.04 / $602.04 / $617.86	Facility		$602.04	$602.04	$617.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,882.07 / $10,795.86 / $20,663.07	Facility		$7,882.07	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,347.21 / $16,496.28 / $30,994.61	Facility	50	$12,347.21	$16,496.28	$30,994.61
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