Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.30 / $5,377.00 / $19,637.13	Facility		$860.30	$5,377.00	$19,637.13
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $3,499.11 / $3,499.11 / $3,499.11	Facility	80	$3,499.11	$3,499.11	$3,499.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,713.85 / $19,823.93 / $38,781.51	Facility		$6,713.85	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,480.41 / $2,462.39 / $2,462.39	Facility	AS	$1,480.41	$2,462.39	$2,462.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $10,848.56	Facility		$625.25	$761.81	$10,848.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $684.02 / $1,407.38 / $8,606.86	Facility		$684.02	$1,407.38	$8,606.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $918.13 / $1,232.13 / $1,293.77	Facility		$918.13	$1,232.13	$1,293.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.72 / $882.47 / $8,495.31	Facility		$855.72	$882.47	$8,495.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00