Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.10 / $1,086.65 / $14,960.00	Facility		$580.10	$1,086.65	$14,960.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $325.79 / $592.54 / $885.03	Facility	54	$325.79	$592.54	$885.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $666.31 / $1,559.22 / $3,448.28	Facility		$666.31	$1,559.22	$3,448.28
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $575.37 / $1,027.57 / $1,031.06	Facility	54	$575.37	$1,027.57	$1,031.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $646.73 / $1,110.00	Facility		$425.37	$646.73	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $387.45 / $627.00 / $1,113.83	Facility		$387.45	$627.00	$1,113.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $842.86 / $976.86	Facility		$536.77	$842.86	$976.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.79 / $652.77 / $666.31	Facility		$222.79	$652.77	$666.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,120.58 / $1,549.85 / $2,982.61	Facility		$1,120.58	$1,549.85	$2,982.61
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00