Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.93 / $18,711.00 / $33,393.54	Facility		$1,675.93	$18,711.00	$33,393.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,443.57 / $26,778.47 / $73,055.70	Facility	50	$19,443.57	$26,778.47	$73,055.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $30,000.00	Facility		$6,526.97	$19,913.50	$30,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $20,860.50 / $30,410.72 / $58,832.76	Facility	50	$20,860.50	$30,410.72	$58,832.76
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $8,315.84	Facility		$2,000.00	$2,285.42	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,025.73 / $2,066.80 / $7,606.52	Facility		$1,025.73	$2,066.80	$7,606.52
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $12,906.11 / $19,857.63 / $47,777.37	Facility	50	$12,906.11	$19,857.63	$47,777.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,381.31 / $1,776.48 / $1,959.08	Facility		$1,381.31	$1,776.48	$1,959.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,272.75 / $1,313.70 / $6,526.97	Facility		$1,272.75	$1,313.70	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $19,719.99 / $30,393.33 / $58,172.27	Facility	50	$19,719.99	$30,393.33	$58,172.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00