Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.26 / $4,500.00 / $18,711.00	Facility		$901.26	$4,500.00	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $468.53 / $683.73 / $997.25	Facility	54	$468.53	$683.73	$997.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$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 $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 $481.54 / $978.75 / $1,741.30	Facility		$481.54	$978.75	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $650.20 / $899.14 / $987.58	Facility		$650.20	$899.14	$987.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $649.15 / $1,613.81	Facility		$537.44	$649.15	$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 $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00