Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.21 / $7,394.00 / $22,024.00	Facility		$917.21	$7,394.00	$22,024.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $129.94 / $199.81 / $291.44	Facility	53	$129.94	$199.81	$291.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,026.00 / $30,261.00 / $57,885.88	Facility		$16,026.00	$30,261.00	$57,885.88
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $4,936.71 / $8,211.29 / $8,211.29	Facility	53	$4,936.71	$8,211.29	$8,211.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,088.29 / $18,088.29 / $18,088.29	Facility		$18,088.29	$18,088.29	$18,088.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $668.21 / $1,153.98 / $35,800.11	Facility		$668.21	$1,153.98	$35,800.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $744.48 / $955.63 / $1,031.56	Facility		$744.48	$955.63	$1,031.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.04 / $685.04 / $687.20	Facility		$685.04	$685.04	$687.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,114.67 / $30,261.00 / $57,885.88	Facility		$23,114.67	$30,261.00	$57,885.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $16,613.00 / $26,417.00	Facility		$3,960.00	$16,613.00	$26,417.00