Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.73 / $1,248.86 / $17,100.00	Facility		$334.73	$1,248.86	$17,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.38 / $269.31 / $583.64	Facility	52	$124.38	$269.31	$583.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.80 / $10,612.45 / $20,300.41	Facility		$1,500.80	$10,612.45	$20,300.41
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $378.71 / $664.86 / $664.86	Facility	52	$378.71	$664.86	$664.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $292.66 / $678.52 / $3,163.58	Facility		$292.66	$678.52	$3,163.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.14 / $861.62 / $1,099.08	Facility		$363.14	$861.62	$1,099.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.86 / $628.76 / $1,366.31	Facility		$617.86	$628.76	$1,366.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $10,606.39 / $20,300.41	Facility		$6,881.70	$10,606.39	$20,300.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00