Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.33 / $7,489.85 / $18,711.00	Facility		$901.33	$7,489.85	$18,711.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,489.50 / $10,778.00 / $17,641.70	Facility	50	$4,489.50	$10,778.00	$17,641.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $926.36 / $6,622.22 / $14,645.34	Facility		$926.36	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,587.51 / $9,933.33 / $19,217.09	Facility	50	$7,587.51	$9,933.33	$19,217.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,430.19	Facility		$734.00	$734.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $713.85 / $1,134.14 / $2,131.19	Facility		$713.85	$1,134.14	$2,131.19
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,752.58 / $6,328.28 / $15,568.54	Facility	50	$5,752.58	$6,328.28	$15,568.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $745.25 / $907.85 / $1,181.88	Facility		$745.25	$907.85	$1,181.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.24 / $633.29 / $925.25	Facility		$619.24	$633.29	$925.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,832.13 / $6,618.43 / $12,667.56	Facility		$4,832.13	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,248.20 / $9,927.65 / $19,001.34	Facility	50	$7,248.20	$9,927.65	$19,001.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00