Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.14 / $4,011.00 / $14,464.32	Facility		$270.14	$4,011.00	$14,464.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $135.08 / $181.65 / $289.54	Facility	52	$135.08	$181.65	$289.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.03 / $72.66 / $115.81	Facility	53	$54.03	$72.66	$115.81
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
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $558.63 / $929.18 / $929.18	Facility	53	$558.63	$929.18	$929.18
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,745.71 / $2,903.69 / $2,903.69	Facility	62	$1,745.71	$2,903.69	$2,903.69
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $279.31 / $464.59 / $464.59	Facility	AS	$279.31	$464.59	$464.59
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 $245.70 / $499.92 / $2,097.69	Facility		$245.70	$499.92	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $310.04 / $383.11 / $440.16	Facility		$310.04	$383.11	$440.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.91 / $608.39 / $1,167.02	Facility		$265.91	$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