Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,070.44 / $12,418.00 / $48,571.45	Facility		$2,070.44	$12,418.00	$48,571.45
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $36,876.41 / $36,876.41 / $36,876.41	Facility	22	$36,876.41	$36,876.41	$36,876.41
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $103,857.42 / $103,857.42 / $103,857.42	Facility	62	$103,857.42	$103,857.42	$103,857.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $22,189.40 / $38,538.61	Facility		$3,250.00	$22,189.40	$38,538.61
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $7,450.10 / $13,156.44 / $13,156.44	Facility	62	$7,450.10	$13,156.44	$13,156.44
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,192.02 / $2,105.03 / $2,105.03	Facility	AS	$1,192.02	$2,105.03	$2,105.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,754.43 / $3,404.77 / $9,096.45	Facility		$1,754.43	$3,404.77	$9,096.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,247.17 / $2,917.82 / $3,094.68	Facility		$2,247.17	$2,917.82	$3,094.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,075.65 / $3,277.62 / $6,637.66	Facility		$2,075.65	$3,277.62	$6,637.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,154.55 / $55,801.25	Facility		$18,916.23	$29,154.55	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00