Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.09 / $2,007.46 / $19,900.00	Facility		$1,092.09	$2,007.46	$19,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,545.62 / $2,545.62 / $2,777.04	Facility	50	$2,545.62	$2,545.62	$2,777.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.38 / $6,622.22 / $14,645.34	Facility		$1,085.38	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,634.41 / $9,933.33 / $19,217.09	Facility	50	$6,634.41	$9,933.33	$19,217.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $2,430.19	Facility		$1,031.00	$1,031.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $717.76 / $1,164.33 / $2,055.69	Facility		$717.76	$1,164.33	$2,055.69
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 $889.63 / $1,433.13 / $1,591.25	Facility		$889.63	$1,433.13	$1,591.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $1,065.00 / $1,085.38	Facility		$925.25	$1,065.00	$1,085.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,441.32 / $9,927.65 / $19,001.34	Facility	50	$6,441.32	$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