Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.89 / $6,750.00 / $22,024.00	Facility		$293.89	$6,750.00	$22,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $146.94 / $197.30 / $316.77	Facility	52	$146.94	$197.30	$316.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,598.00 / $15,181.18 / $23,890.45	Facility		$3,598.00	$15,181.18	$23,890.45
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $10,891.38 / $18,115.80 / $18,115.80	Facility	52	$10,891.38	$18,115.80	$18,115.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $9,976.62	Facility		$500.00	$870.49	$9,976.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $261.58 / $523.66 / $8,749.16	Facility		$261.58	$523.66	$8,749.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $333.20 / $417.17 / $450.24	Facility		$333.20	$417.17	$450.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.01 / $1,679.99 / $5,594.77	Facility		$289.01	$1,679.99	$5,594.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,473.20 / $16,151.01 / $30,895.07	Facility		$10,473.20	$16,151.01	$30,895.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00