Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.04 / $1,194.98 / $18,711.00	Facility		$324.04	$1,194.98	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $162.85 / $260.61 / $380.11	Facility	54	$162.85	$260.61	$380.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $388.99 / $694.04 / $11,500.00	Facility		$388.99	$694.04	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $291.72 / $651.70 / $651.70	Facility	54	$291.72	$651.70	$651.70
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 $185.02 / $294.97 / $515.65	Facility		$185.02	$294.97	$515.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.04 / $341.27 / $386.24	Facility		$266.04	$341.27	$386.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $241.45 / $245.41	Facility		$77.31	$241.45	$245.41
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