Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,678.99 / $4,500.00 / $22,024.00	Facility		$2,678.99	$4,500.00	$22,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $925.51 / $1,431.44 / $2,087.83	Facility	52	$925.51	$1,431.44	$2,087.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.34 / $34,332.32 / $70,064.83	Facility		$2,010.34	$34,332.32	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,639.26 / $5,369.79 / $5,369.79	Facility	52	$1,639.26	$5,369.79	$5,369.79
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $204.91 / $671.22 / $671.22	Facility	AS	$204.91	$671.22	$671.22
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 $1,413.65 / $2,948.33 / $4,422.18	Facility		$1,413.65	$2,948.33	$4,422.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,082.98 / $2,844.08 / $2,947.33	Facility		$2,082.98	$2,844.08	$2,947.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,964.21 / $2,010.34 / $23,065.03	Facility		$1,964.21	$2,010.34	$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