Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.90 / $10,596.56 / $22,804.44	Facility		$493.90	$10,596.56	$22,804.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,952.21 / $13,952.21 / $19,001.80	Facility	50	$13,952.21	$13,952.21	$19,001.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$28,049.69
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $14,715.18 / $21,995.31 / $42,552.26	Facility	50	$14,715.18	$21,995.31	$42,552.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $480.84 / $937.55 / $9,391.74	Facility		$480.84	$937.55	$9,391.74
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $9,391.74 / $13,249.69 / $31,878.69	Facility	50	$9,391.74	$13,249.69	$31,878.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $570.34 / $752.90 / $810.89	Facility		$570.34	$752.90	$810.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.61 / $527.38 / $2,173.03	Facility		$514.61	$527.38	$2,173.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $14,262.98 / $21,982.74 / $42,074.54	Facility	50	$14,262.98	$21,982.74	$42,074.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00