Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.03 / $9,347.06 / $16,980.00	Facility		$478.03	$9,347.06	$16,980.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $175.74 / $240.32 / $360.53	Facility	52	$175.74	$240.32	$360.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.27 / $8,576.15 / $26,542.00	Facility		$1,548.27	$8,576.15	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,605.76 / $5,997.52 / $5,997.52	Facility	52	$3,605.76	$5,997.52	$5,997.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,302.92	Facility		$883.20	$1,075.31	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.52 / $557.36 / $3,021.20	Facility		$288.52	$557.36	$3,021.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.95 / $485.75 / $521.26	Facility		$369.95	$485.75	$521.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.47 / $904.15 / $1,781.59	Facility		$342.47	$904.15	$1,781.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00