Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.95 / $3,810.00 / $18,711.00	Facility		$523.95	$3,810.00	$18,711.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $196.08 / $263.41 / $421.42	Facility	52	$196.08	$263.41	$421.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,792.62 / $23,832.20	Facility		$55.00	$15,792.62	$23,832.20
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $10,864.84 / $18,071.64 / $18,071.64	Facility	52	$10,864.84	$18,071.64	$18,071.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $9,952.29	Facility		$500.00	$870.49	$9,952.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.90 / $702.54 / $10,386.37	Facility		$354.90	$702.54	$10,386.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $425.32 / $554.61 / $573.24	Facility		$425.32	$554.61	$573.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.14 / $1,679.99 / $5,724.60	Facility		$384.14	$1,679.99	$5,724.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,473.20 / $16,151.01 / $30,895.07	Facility		$10,473.20	$16,151.01	$30,895.07
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