Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $5,687.64 / $16,508.00	Facility		$142.53	$5,687.64	$16,508.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $7,929.30 / $16,394.00	Facility		$1,790.56	$7,929.30	$16,394.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,614.89 / $6,012.68 / $6,012.68	Facility	52	$3,614.89	$6,012.68	$6,012.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,311.26	Facility		$625.25	$761.81	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $231.96 / $3,028.83	Facility		$116.14	$231.96	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.37 / $205.50 / $211.72	Facility		$153.37	$205.50	$211.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $929.09 / $1,915.04	Facility		$140.43	$929.09	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,159.74 / $7,956.97 / $15,220.78	Facility		$5,159.74	$7,956.97	$15,220.78
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