Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.51 / $3,810.00 / $18,711.00	Facility		$256.51	$3,810.00	$18,711.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.41 / $128.96 / $207.04	Facility	52	$96.41	$128.96	$207.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.26 / $5,068.58 / $16,394.00	Facility		$1,076.26	$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 $170.56 / $330.32 / $2,097.69	Facility		$170.56	$330.32	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $228.83 / $274.19 / $294.80	Facility		$228.83	$274.19	$294.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $416.80 / $1,167.02	Facility		$188.90	$416.80	$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