Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,922.14 / $5,128.00 / $23,000.00	Facility		$1,922.14	$5,128.00	$23,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $961.07 / $1,486.86 / $2,168.66	Facility	52	$961.07	$1,486.86	$2,168.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,087.58 / $34,332.32 / $70,064.83	Facility		$2,087.58	$34,332.32	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,702.54 / $5,576.91 / $5,576.91	Facility	52	$1,702.54	$5,576.91	$5,576.91
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $212.82 / $697.11 / $697.11	Facility	AS	$212.82	$697.11	$697.11
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 $1,468.95 / $3,064.11 / $4,590.93	Facility		$1,468.95	$3,064.11	$4,590.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,139.55 / $2,953.39 / $3,060.56	Facility		$2,139.55	$2,953.39	$3,060.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.67 / $2,087.58 / $23,065.03	Facility		$2,041.67	$2,087.58	$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 / $8,600.00 / $25,050.00	Facility		$3,700.00	$8,600.00	$25,050.00