Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.98 / $4,347.77 / $20,680.40	Facility		$2,068.98	$4,347.77	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,034.49 / $1,396.47 / $2,173.89	Facility	52	$1,034.49	$1,396.47	$2,173.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $10,160.00 / $14,134.40	Facility		$1,250.00	$10,160.00	$14,134.40
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,699.18 / $5,570.85 / $5,570.85	Facility	52	$1,699.18	$5,570.85	$5,570.85
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $212.40 / $696.36 / $696.36	Facility	AS	$212.40	$696.36	$696.36
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 $1,449.56 / $3,013.31 / $3,840.74	Facility		$1,449.56	$3,013.31	$3,840.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,191.77 / $2,933.79 / $3,068.60	Facility		$2,191.77	$2,933.79	$3,068.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.42 / $2,063.42 / $2,093.06	Facility		$2,063.42	$2,063.42	$2,093.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00