Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.15 / $1,069.38 / $14,464.32	Facility		$775.15	$1,069.38	$14,464.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $262.70 / $393.36 / $565.29	Facility	52	$262.70	$393.36	$565.29
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $394.05 / $590.03 / $847.94	Facility	54	$394.05	$590.03	$847.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $694.04 / $11,500.00	Facility		$400.01	$694.04	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $480.35 / $1,575.58 / $1,575.58	Facility	52	$480.35	$1,575.58	$1,575.58
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $420.31 / $1,378.64 / $1,378.64	Facility	54	$420.31	$1,378.64	$1,378.64
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 $226.46 / $603.48 / $1,006.94	Facility		$226.46	$603.48	$1,006.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.36 / $762.46 / $864.30	Facility		$551.36	$762.46	$864.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $556.28 / $589.53	Facility		$77.31	$556.28	$589.53
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