Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,246.33 / $4,271.74 / $20,680.40	Facility		$2,246.33	$4,271.74	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,123.17 / $1,504.14 / $2,348.63	Facility	52	$1,123.17	$1,504.14	$2,348.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,650.00 / $15,195.36	Facility		$55.00	$1,650.00	$15,195.36
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,823.82 / $5,994.70 / $5,994.70	Facility	52	$1,823.82	$5,994.70	$5,994.70
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $227.98 / $749.34 / $749.34	Facility	AS	$227.98	$749.34	$749.34
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 $1,569.84 / $3,212.39 / $4,137.43	Facility		$1,569.84	$3,212.39	$4,137.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,363.27 / $3,147.22 / $3,305.78	Facility		$2,363.27	$3,147.22	$3,305.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,231.03 / $2,231.03 / $2,254.84	Facility		$2,231.03	$2,231.03	$2,254.84
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