Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,199.10 / $5,332.81 / $22,024.00	Facility		$2,199.10	$5,332.81	$22,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,099.55 / $1,705.66 / $2,487.79	Facility	52	$1,099.55	$1,705.66	$2,487.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,381.88 / $34,428.37 / $70,064.83	Facility		$2,381.88	$34,428.37	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,941.86 / $6,354.39 / $6,354.39	Facility	52	$1,941.86	$6,354.39	$6,354.39
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $242.73 / $794.30 / $794.30	Facility	AS	$242.73	$794.30	$794.30
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 $1,847.23 / $3,467.10 / $4,813.47	Facility		$1,847.23	$3,467.10	$4,813.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,483.32 / $3,369.54 / $3,492.04	Facility		$2,483.32	$3,369.54	$3,492.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,332.50 / $2,332.50 / $2,381.88	Facility		$2,332.50	$2,332.50	$2,381.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,726.72 / $36,627.79 / $70,064.83	Facility		$26,726.72	$36,627.79	$70,064.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00