Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.26 / $4,011.00 / $18,711.00	Facility		$1,392.26	$4,011.00	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $722.87 / $1,102.52 / $1,608.08	Facility	54	$722.87	$1,102.52	$1,608.08
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 $802.89 / $1,490.07 / $2,072.19	Facility		$802.89	$1,490.07	$2,072.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.24 / $1,459.26 / $1,520.90	Facility		$1,055.24	$1,459.26	$1,520.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $1,018.34 / $1,613.81	Facility		$537.44	$1,018.34	$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 $472.00 / $1,365.90 / $4,611.00	Facility		$472.00	$1,365.90	$4,611.00