Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.07 / $13,701.00 / $27,219.05	Facility		$773.07	$13,701.00	$27,219.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,615.36 / $25,722.00 / $41,281.92	Facility	50	$6,615.36	$25,722.00	$41,281.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,598.26 / $16,223.75 / $26,542.00	Facility		$3,598.26	$16,223.75	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $16,820.81 / $24,527.22 / $47,450.52	Facility	50	$16,820.81	$24,527.22	$47,450.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $924.53 / $1,537.78 / $1,537.78	Facility	AS	$924.53	$1,537.78	$1,537.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $6,775.01	Facility		$1,394.89	$1,698.13	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $626.62 / $1,166.13 / $6,197.13	Facility		$626.62	$1,166.13	$6,197.13
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $12,028.17 / $15,969.29 / $38,422.04	Facility	50	$12,028.17	$15,969.29	$38,422.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $788.90 / $1,077.35 / $1,147.04	Facility		$788.90	$1,077.35	$1,147.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.02 / $2,010.99 / $3,875.03	Facility		$766.02	$2,010.99	$3,875.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,351.48 / $31,278.54	Facility		$10,603.20	$16,351.48	$31,278.54
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $15,904.80 / $24,527.22 / $46,917.81	Facility	50	$15,904.80	$24,527.22	$46,917.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00