Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.11 / $5,116.62 / $12,214.00	Facility		$354.11	$5,116.62	$12,214.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $132.83 / $178.02 / $284.75	Facility	52	$132.83	$178.02	$284.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $986.58 / $5,068.58 / $16,394.00	Facility		$986.58	$5,068.58	$16,394.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,234.51 / $3,716.72 / $3,716.72	Facility	52	$2,234.51	$3,716.72	$3,716.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,046.84	Facility		$625.25	$761.81	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.82 / $489.63 / $2,097.69	Facility		$239.82	$489.63	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $317.35 / $375.90 / $423.13	Facility		$317.35	$375.90	$423.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.57 / $608.39 / $1,167.02	Facility		$259.57	$608.39	$1,167.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00