Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.80 / $2,711.67 / $16,398.00	Facility		$367.80	$2,711.67	$16,398.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,940.50 / $11,947.20 / $13,074.05	Facility	50	$9,940.50	$11,947.20	$13,074.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,337.64 / $9,286.14 / $18,898.13	Facility		$1,337.64	$9,286.14	$18,898.13
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $9,794.52 / $14,819.07 / $28,669.05	Facility	50	$9,794.52	$14,819.07	$28,669.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $322.64 / $1,502.37 / $3,325.31	Facility		$322.64	$1,502.37	$3,325.31
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,188.74 / $9,669.36 / $23,264.42	Facility	50	$8,188.74	$9,669.36	$23,264.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.32 / $1,877.29 / $2,091.00	Facility		$399.32	$1,877.29	$2,091.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,337.64 / $1,392.98 / $1,470.05	Facility		$1,337.64	$1,392.98	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,529.68 / $9,873.73 / $18,898.13	Facility		$6,529.68	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,794.52 / $14,810.60 / $28,347.20	Facility	50	$9,794.52	$14,810.60	$28,347.20
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