Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.08 / $2,769.52 / $18,711.00	Facility		$1,265.08	$2,769.52	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $652.60 / $993.16 / $1,448.57	Facility	54	$652.60	$993.16	$1,448.57
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 $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $1,380.73 / $1,878.58	Facility		$728.01	$1,380.73	$1,878.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.89 / $1,312.53 / $1,390.92	Facility		$960.89	$1,312.53	$1,390.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $915.97 / $1,613.81	Facility		$537.44	$915.97	$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 $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00