Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.08 / $6,470.00 / $25,612.66	Facility		$2,041.08	$6,470.00	$25,612.66
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,020.54 / $1,579.46 / $2,303.71	Facility	52	$1,020.54	$1,579.46	$2,303.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,469.36 / $37,297.19 / $71,345.31	Facility		$5,469.36	$37,297.19	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $21,521.75 / $38,006.16 / $38,006.16	Facility	52	$21,521.75	$38,006.16	$38,006.16
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,690.22 / $4,750.77 / $4,750.77	Facility	AS	$2,690.22	$4,750.77	$4,750.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,816.78 / $3,665.21 / $18,019.28	Facility		$1,816.78	$3,665.21	$18,019.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,271.34 / $3,123.47 / $3,236.80	Facility		$2,271.34	$3,123.47	$3,236.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,161.71 / $2,161.71 / $2,206.85	Facility		$2,161.71	$2,161.71	$2,206.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,215.17 / $37,275.87 / $71,345.31	Facility		$27,215.17	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $17,266.00	Facility		$2,912.00	$4,016.00	$17,266.00