Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $55.82 / $18,711.00	Facility		$26.27	$55.82	$18,711.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $13.14 / $17.64 / $27.91	Facility	52	$13.14	$17.64	$27.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,492.14 / $3,393.78	Facility		$55.00	$2,492.14	$3,393.78
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,301.66 / $2,165.08 / $2,165.08	Facility	52	$1,301.66	$2,165.08	$2,165.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,192.33	Facility		$466.83	$568.48	$1,192.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $48.87 / $1,090.64	Facility		$23.76	$48.87	$1,090.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $37.10 / $46.51	Facility		$30.80	$37.10	$46.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $269.99 / $666.60	Facility		$25.59	$269.99	$666.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,665.80 / $2,568.87 / $4,913.96	Facility		$1,665.80	$2,568.87	$4,913.96
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00