Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.34 / $9,673.00 / $22,024.00	Facility		$863.34	$9,673.00	$22,024.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,070.37 / $13,070.37 / $13,070.37	Facility	50	$13,070.37	$13,070.37	$13,070.37
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 $1,394.89 / $1,698.13 / $3,991.53	Facility		$1,394.89	$1,698.13	$3,991.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $699.37 / $1,335.73 / $3,651.07	Facility		$699.37	$1,335.73	$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 $896.50 / $1,223.83 / $1,282.38	Facility		$896.50	$1,223.83	$1,282.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $859.34 / $1,460.91 / $2,583.64	Facility		$859.34	$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 $2,759.00 / $12,234.10 / $18,070.95	Facility		$2,759.00	$12,234.10	$18,070.95