Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,439.00 / $7,556.33 / $23,000.00	Facility		$3,439.00	$7,556.33	$23,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.73 / $1,861.53 / $2,715.13	Facility	52	$1,198.73	$1,861.53	$2,715.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,606.73 / $34,332.32 / $70,064.83	Facility		$2,606.73	$34,332.32	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,124.58 / $6,958.71 / $6,958.71	Facility	52	$2,124.58	$6,958.71	$6,958.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $265.57 / $869.84 / $869.84	Facility	AS	$265.57	$869.84	$869.84
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 $1,847.48 / $3,836.25 / $5,722.50	Facility		$1,847.48	$3,836.25	$5,722.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,711.66 / $3,682.53 / $3,821.68	Facility		$2,711.66	$3,682.53	$3,821.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,551.30 / $2,606.73 / $23,065.03	Facility		$2,551.30	$2,606.73	$23,065.03
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 $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00