Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.29 / $943.22 / $7,984.74	Facility		$487.29	$943.22	$7,984.74
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $365.47 / $542.60 / $773.42	Facility	54	$365.47	$542.60	$773.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $507.80 / $733.95 / $2,000.00	Facility		$507.80	$733.95	$2,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $635.15 / $1,142.33 / $1,142.33	Facility	54	$635.15	$1,142.33	$1,142.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.41 / $564.85 / $899.21	Facility		$249.41	$564.85	$899.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.03 / $679.23 / $789.26	Facility		$446.03	$679.23	$789.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $510.53 / $538.35	Facility		$77.31	$510.53	$538.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $667.91 / $1,278.36	Facility		$433.36	$667.91	$1,278.36
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00