Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,213.31 / $7,556.33 / $22,238.59	Facility		$2,213.31	$7,556.33	$22,238.59
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,106.66 / $1,919.56 / $2,491.80	Facility	52	$1,106.66	$1,919.56	$2,491.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,404.28 / $34,428.37 / $70,064.83	Facility		$2,404.28	$34,428.37	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,959.50 / $6,418.56 / $6,418.56	Facility	52	$1,959.50	$6,418.56	$6,418.56
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $244.94 / $802.32 / $802.32	Facility	AS	$244.94	$802.32	$802.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,687.70 / $3,520.28 / $5,290.31	Facility		$1,687.70	$3,520.28	$5,290.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,486.26 / $3,398.91 / $3,524.87	Facility		$2,486.26	$3,398.91	$3,524.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,348.81 / $2,404.28 / $19,515.89	Facility		$2,348.81	$2,404.28	$19,515.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $12,772.00 / $18,734.00	Facility		$3,700.00	$12,772.00	$18,734.00