Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.81 / $4,500.00 / $21,917.86	Facility		$1,451.81	$4,500.00	$21,917.86
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $725.91 / $977.44 / $1,502.90	Facility	52	$725.91	$977.44	$1,502.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,446.43 / $5,413.00 / $9,898.71	Facility		$1,446.43	$5,413.00	$9,898.71
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,191.79 / $3,923.82 / $3,923.82	Facility	52	$1,191.79	$3,923.82	$3,923.82
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.97 / $490.48 / $490.48	Facility	AS	$148.97	$490.48	$490.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,005.95 / $2,042.72 / $2,688.26	Facility		$1,005.95	$2,042.72	$2,688.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,516.55 / $2,057.76 / $2,155.39	Facility		$1,516.55	$2,057.76	$2,155.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,446.43 / $2,010.99 / $3,875.03	Facility		$1,446.43	$2,010.99	$3,875.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,064.08 / $8,064.08 / $12,850.27	Facility		$8,064.08	$8,064.08	$12,850.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,389.00 / $3,501.00 / $10,312.00	Facility		$1,389.00	$3,501.00	$10,312.00