Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $1,043.38 / $13,750.00	Facility		$521.00	$1,043.38	$13,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $369.16 / $551.04 / $782.54	Facility	54	$369.16	$551.04	$782.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $668.30 / $11,500.00	Facility		$400.01	$668.30	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $390.79 / $1,281.15 / $1,281.15	Facility	54	$390.79	$1,281.15	$1,281.15
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 / $563.25 / $950.88	Facility		$226.46	$563.25	$950.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.72 / $702.83 / $804.00	Facility		$503.72	$702.83	$804.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $519.14 / $548.40	Facility		$77.31	$519.14	$548.40
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