Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.38 / $13,302.45 / $46,703.32	Facility		$924.38	$13,302.45	$46,703.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $424.03 / $721.78 / $956.22	Facility	52	$424.03	$721.78	$956.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14,905.81 / $27,770.10 / $55,801.25	Facility		$14,905.81	$27,770.10	$55,801.25
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $12,660.09 / $21,057.68 / $21,057.68	Facility	52	$12,660.09	$21,057.68	$21,057.68
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,582.51 / $2,632.21 / $2,632.21	Facility	AS	$1,582.51	$2,632.21	$2,632.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,960.89 / $6,960.89 / $11,596.76	Facility		$6,960.89	$6,960.89	$11,596.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $929.88 / $1,599.64 / $17,873.87	Facility		$929.88	$1,599.64	$17,873.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $980.73 / $1,289.38 / $1,507.50	Facility		$980.73	$1,289.38	$1,507.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.73 / $903.49 / $4,000.25	Facility		$879.73	$903.49	$4,000.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,801.25	Facility		$18,916.23	$29,070.27	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00