Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.80 / $2,769.52 / $18,711.00	Facility		$919.80	$2,769.52	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $480.85 / $718.86 / $1,048.49	Facility	54	$480.85	$718.86	$1,048.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,138.84 / $4,554.63 / $11,500.00	Facility		$2,138.84	$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 $517.21 / $1,047.17 / $1,741.30	Facility		$517.21	$1,047.17	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.60 / $946.71 / $1,012.37	Facility		$684.60	$946.71	$1,012.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.25 / $690.53 / $2,138.84	Facility		$672.25	$690.53	$2,138.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,024.21 / $4,552.03 / $8,712.50	Facility		$3,024.21	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00