Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.70 / $4,500.00 / $20,680.40	Facility		$474.70	$4,500.00	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $177.92 / $238.65 / $382.78	Facility	52	$177.92	$238.65	$382.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,627.84 / $7,123.96	Facility		$55.00	$4,627.84	$7,123.96
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 $500.00 / $870.49 / $2,046.84	Facility		$500.00	$870.49	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $313.24 / $610.80 / $2,097.69	Facility		$313.24	$610.80	$2,097.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.63 / $504.21 / $523.94	Facility		$385.63	$504.21	$523.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.90 / $608.39 / $1,167.02	Facility		$347.90	$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