Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.57 / $9,350.64 / $19,115.79	Facility		$802.57	$9,350.64	$19,115.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,090.23 / $17,090.23 / $17,090.23	Facility	50	$17,090.23	$17,090.23	$17,090.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,481.16 / $9,558.29 / $26,542.00	Facility		$1,481.16	$9,558.29	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,787.19 / $14,706.45 / $28,451.21	Facility	50	$10,787.19	$14,706.45	$28,451.21
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $544.69 / $905.99 / $905.99	Facility	AS	$544.69	$905.99	$905.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $3,991.53	Facility		$1,877.15	$2,285.42	$3,991.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $1,315.13 / $3,651.07	Facility		$665.11	$1,315.13	$3,651.07
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,316.01 / $10,887.00 / $26,194.07	Facility	50	$8,316.01	$10,887.00	$26,194.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.61 / $1,132.97 / $1,190.58	Facility		$870.61	$1,132.97	$1,190.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.37 / $1,460.91 / $2,583.64	Facility		$796.37	$1,460.91	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,604.88 / $14,706.45 / $28,131.80	Facility	50	$10,604.88	$14,706.45	$28,131.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00