Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.43 / $474.33 / $14,464.32	Facility		$149.43	$474.33	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $209.58 / $1,836.95 / $3,748.81	Facility		$209.58	$1,836.95	$3,748.81
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,245.42 / $2,939.66 / $5,687.07	Facility	50	$2,245.42	$2,939.66	$5,687.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $880.53	Facility		$714.97	$870.49	$880.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $210.95 / $652.97	Facility		$104.72	$210.95	$652.97
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,928.64 / $2,135.87 / $4,640.79	Facility	50	$1,928.64	$2,135.87	$4,640.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.19 / $381.90 / $457.61	Facility		$172.19	$381.90	$457.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.22 / $312.13 / $715.32	Facility		$238.22	$312.13	$715.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,430.01 / $1,958.65 / $3,748.81	Facility		$1,430.01	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,145.02 / $2,937.98 / $5,623.22	Facility	50	$2,145.02	$2,937.98	$5,623.22
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00