Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.37 / $10,122.46 / $20,426.31	Facility		$1,368.37	$10,122.46	$20,426.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,834.63 / $10,834.63 / $13,702.00	Facility	50	$10,834.63	$10,834.63	$13,702.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,889.49 / $16,435.34 / $31,795.95	Facility	50	$10,889.49	$16,435.34	$31,795.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $3,759.09	Facility		$906.00	$906.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $861.95 / $1,632.45 / $3,376.68	Facility		$861.95	$1,632.45	$3,376.68
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $9,510.91 / $10,462.73 / $25,389.69	Facility	50	$9,510.91	$10,462.73	$25,389.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,008.50 / $1,295.54 / $1,428.44	Facility		$1,008.50	$1,295.54	$1,428.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.57 / $871.57 / $958.52	Facility		$871.57	$871.57	$958.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,657.59 / $16,425.96 / $31,438.98	Facility	50	$10,657.59	$16,425.96	$31,438.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00