Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.80 / $3,185.61 / $20,680.40	Facility		$1,675.80	$3,185.61	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $837.90 / $1,130.94 / $1,751.47	Facility	52	$837.90	$1,130.94	$1,751.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,698.67 / $11,453.28	Facility		$55.00	$1,698.67	$11,453.28
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,377.58 / $4,525.71 / $4,525.71	Facility	52	$1,377.58	$4,525.71	$4,525.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.20 / $565.71 / $565.71	Facility	AS	$172.20	$565.71	$565.71
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 $1,170.25 / $2,402.48 / $3,111.01	Facility		$1,170.25	$2,402.48	$3,111.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,761.55 / $2,378.25 / $2,490.39	Facility		$1,761.55	$2,378.25	$2,490.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,672.02 / $1,672.02 / $1,698.67	Facility		$1,672.02	$1,672.02	$1,698.67
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