Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.92 / $681.60 / $20,680.40	Facility		$320.92	$681.60	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $160.46 / $216.81 / $340.80	Facility	52	$160.46	$216.81	$340.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $326.76 / $1,300.00	Facility		$55.00	$326.76	$1,300.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $264.14 / $868.31 / $868.31	Facility	52	$264.14	$868.31	$868.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $33.02 / $108.54 / $108.54	Facility	AS	$33.02	$108.54	$108.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $226.61 / $484.61 / $595.96	Facility		$226.61	$484.61	$595.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $347.41 / $453.93 / $479.05	Facility		$347.41	$453.93	$479.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.54 / $322.54 / $326.76	Facility		$322.54	$322.54	$326.76
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00