Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.41 / $3,439.16 / $20,680.40	Facility		$1,812.41	$3,439.16	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $906.21 / $1,221.20 / $1,890.87	Facility	52	$906.21	$1,221.20	$1,890.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,500.00 / $12,372.96	Facility		$55.00	$1,500.00	$12,372.96
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,487.78 / $4,890.22 / $4,890.22	Facility	52	$1,487.78	$4,890.22	$4,890.22
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $185.97 / $611.28 / $611.28	Facility	AS	$185.97	$611.28	$611.28
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 $1,263.56 / $2,607.96 / $3,358.82	Facility		$1,263.56	$2,607.96	$3,358.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,904.63 / $2,567.66 / $2,692.06	Facility		$1,904.63	$2,567.66	$2,692.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.83 / $1,808.83 / $1,836.23	Facility		$1,808.83	$1,808.83	$1,836.23
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