Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.17 / $7,789.64 / $18,711.00	Facility		$1,033.17	$7,789.64	$18,711.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,276.59 / $8,828.28 / $16,084.30	Facility	50	$6,276.59	$8,828.28	$16,084.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $958.52 / $6,622.22 / $14,645.34	Facility		$958.52	$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 $906.00 / $906.00 / $2,430.19	Facility		$906.00	$906.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $799.92 / $1,154.92 / $2,131.19	Facility		$799.92	$1,154.92	$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 / $941.71 / $1,329.95	Facility		$745.25	$941.71	$1,329.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.24 / $724.80 / $925.25	Facility		$619.24	$724.80	$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