Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,383.82 / $4,500.00 / $20,680.40	Facility		$2,383.82	$4,500.00	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,191.91 / $1,604.48 / $2,494.91	Facility	52	$1,191.91	$1,604.48	$2,494.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,650.00 / $16,222.96	Facility		$55.00	$1,650.00	$16,222.96
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,949.04 / $6,402.84 / $6,402.84	Facility	52	$1,949.04	$6,402.84	$6,402.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $243.63 / $800.36 / $800.36	Facility	AS	$243.63	$800.36	$800.36
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 $1,666.56 / $3,373.09 / $4,412.68	Facility		$1,666.56	$3,373.09	$4,412.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,505.37 / $3,363.33 / $3,528.22	Facility		$2,505.37	$3,363.33	$3,528.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,372.81 / $2,372.81 / $2,406.56	Facility		$2,372.81	$2,372.81	$2,406.56
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