Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.14 / $8,878.56 / $21,369.29	Facility		$573.14	$8,878.56	$21,369.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,814.00 / $12,814.00 / $20,196.91	Facility	50	$12,814.00	$12,814.00	$20,196.91
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 $512.25 / $923.71 / $6,620.15	Facility		$512.25	$923.71	$6,620.15
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,620.15 / $13,249.69 / $31,878.69	Facility	50	$6,620.15	$13,249.69	$31,878.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.02 / $802.17 / $822.76	Facility		$587.02	$802.17	$822.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.22 / $561.20 / $2,173.03	Facility		$547.22	$561.20	$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 $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00