Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,529.36 / $4,778.78 / $20,680.40	Facility		$2,529.36	$4,778.78	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,264.68 / $1,689.83 / $2,645.23	Facility	52	$1,264.68	$1,689.83	$2,645.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,660.50 / $17,063.68	Facility		$55.00	$1,660.50	$17,063.68
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,048.73 / $6,724.98 / $6,724.98	Facility	52	$2,048.73	$6,724.98	$6,724.98
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $256.08 / $840.62 / $840.62	Facility	AS	$256.08	$840.62	$840.62
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 $1,770.10 / $3,560.97 / $4,647.64	Facility		$1,770.10	$3,560.97	$4,647.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,643.06 / $3,542.53 / $3,703.76	Facility		$2,643.06	$3,542.53	$3,703.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,493.31 / $2,493.31 / $2,526.30	Facility		$2,493.31	$2,493.31	$2,526.30
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,323.00 / $4,332.00	Facility		$650.00	$1,323.00	$4,332.00