Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.25 / $1,120.48 / $17,100.00	Facility		$569.25	$1,120.48	$17,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $426.94 / $623.19 / $840.36	Facility	54	$426.94	$623.19	$840.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,160.88 / $4,554.63 / $11,500.00	Facility		$1,160.88	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $742.32 / $1,330.94 / $1,330.94	Facility	54	$742.32	$1,330.94	$1,330.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $406.40 / $823.69 / $1,422.51	Facility		$406.40	$823.69	$1,422.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.49 / $812.04 / $909.19	Facility		$588.49	$812.04	$909.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $590.71 / $1,613.81	Facility		$537.44	$590.71	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $1,365.90 / $4,611.00	Facility		$472.00	$1,365.90	$4,611.00