Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.92 / $5,128.00 / $18,711.00	Facility		$1,395.92	$5,128.00	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $720.82 / $1,106.47 / $1,613.84	Facility	54	$720.82	$1,106.47	$1,613.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.33 / $4,554.63 / $11,500.00	Facility		$2,173.33	$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 $814.65 / $1,492.97 / $2,072.19	Facility		$814.65	$1,492.97	$2,072.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,077.51 / $1,463.28 / $1,530.95	Facility		$1,077.51	$1,463.28	$1,530.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $1,023.78 / $1,613.81	Facility		$537.44	$1,023.78	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $5,724.01 / $9,155.68	Facility		$1,436.00	$5,724.01	$9,155.68