Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.05 / $674.79 / $12,214.00	Facility		$264.05	$674.79	$12,214.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $98.10 / $195.49 / $337.40	Facility	52	$98.10	$195.49	$337.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,184.54 / $4,809.85 / $12,000.00	Facility		$1,184.54	$4,809.85	$12,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $298.62 / $524.38 / $524.38	Facility	52	$298.62	$524.38	$524.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.40 / $425.50 / $1,528.00	Facility		$229.40	$425.50	$1,528.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.77 / $503.84 / $603.91	Facility		$288.77	$503.84	$603.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.46 / $375.20 / $676.20	Facility		$371.46	$375.20	$676.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,118.98 / $4,807.10 / $9,200.71	Facility		$3,118.98	$4,807.10	$9,200.71
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00