Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.42 / $7,394.00 / $17,930.00	Facility		$460.42	$7,394.00	$17,930.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,940.50 / $14,473.48 / $22,799.70	Facility	50	$9,940.50	$14,473.48	$22,799.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $25,560.89	Facility		$4,938.64	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $9,119.20 / $14,819.07 / $28,669.05	Facility	50	$9,119.20	$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 $406.98 / $746.73 / $5,967.13	Facility		$406.98	$746.73	$5,967.13
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,967.13 / $9,669.36 / $23,264.42	Facility	50	$5,967.13	$9,669.36	$23,264.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $486.57 / $629.79 / $662.63	Facility		$486.57	$629.79	$662.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.69 / $451.97 / $1,470.05	Facility		$436.69	$451.97	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,873.73 / $18,898.13	Facility		$6,406.33	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,609.50 / $14,810.60 / $28,347.20	Facility	50	$9,609.50	$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