Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.28 / $4,258.71 / $13,750.00	Facility		$539.28	$4,258.71	$13,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $400.46 / $585.07 / $853.34	Facility	54	$400.46	$585.07	$853.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,730.13 / $11,500.00	Facility		$2,701.16	$4,730.13	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,896.69 / $3,154.80 / $3,154.80	Facility	54	$1,896.69	$3,154.80	$3,154.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $400.63 / $833.75 / $1,741.30	Facility		$400.63	$833.75	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.72 / $768.49 / $844.20	Facility		$555.72	$768.49	$844.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $555.83 / $1,613.81	Facility		$537.44	$555.83	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,024.21 / $4,552.03 / $8,712.50	Facility		$3,024.21	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $5,724.01 / $9,155.68	Facility		$1,436.00	$5,724.01	$9,155.68