Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $872.10 / $18,711.00	Facility		$56.94	$872.10	$18,711.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.12 / $36.71 / $58.54	Facility	52	$27.12	$36.71	$58.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.85 / $14.68 / $23.42	Facility	53	$10.85	$14.68	$23.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,048.16 / $1,502.14	Facility		$55.00	$1,048.16	$1,502.14
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $547.46 / $910.60 / $910.60	Facility	52	$547.46	$910.60	$910.60
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $136.86 / $227.65 / $227.65	Facility	53	$136.86	$227.65	$227.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.01 / $501.48 / $501.48	Facility		$301.01	$501.48	$501.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $90.30 / $439.78	Facility		$48.38	$90.30	$439.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.14 / $77.08 / $80.23	Facility		$59.14	$77.08	$80.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.45 / $107.35 / $304.88	Facility		$53.45	$107.35	$304.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,129.13 / $2,159.90	Facility		$732.19	$1,129.13	$2,159.90
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $520.00 / $1,910.00	Facility		$107.00	$520.00	$1,910.00