Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.71 / $2,521.59 / $16,098.58	Facility		$441.71	$2,521.59	$16,098.58
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $219.66 / $979.66 / $1,605.69	Facility	52	$219.66	$979.66	$1,605.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,366.31 / $9,975.20 / $20,300.41	Facility		$1,366.31	$9,975.20	$20,300.41
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $494.61 / $869.54 / $869.54	Facility	52	$494.61	$869.54	$869.54
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 $385.31 / $1,334.20 / $3,432.57	Facility		$385.31	$1,334.20	$3,432.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $476.37 / $2,184.87 / $2,595.58	Facility		$476.37	$2,184.87	$2,595.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,366.31 / $1,759.91 / $1,857.30	Facility		$1,366.31	$1,759.91	$1,857.30
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 $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00