Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.49 / $5,467.44 / $14,464.32	Facility		$419.49	$5,467.44	$14,464.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.59 / $210.89 / $338.94	Facility	52	$157.59	$210.89	$338.94
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 $286.02 / $579.66 / $2,097.69	Facility		$286.02	$579.66	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $376.20 / $446.92 / $522.04	Facility		$376.20	$446.92	$522.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.13 / $608.39 / $1,167.02	Facility		$307.13	$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