Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.82 / $2,961.00 / $20,680.40	Facility		$1,043.82	$2,961.00	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $521.91 / $702.86 / $1,086.34	Facility	52	$521.91	$702.86	$1,086.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $2,000.00 / $6,229.93	Facility		$480.00	$2,000.00	$6,229.93
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $856.87 / $2,816.91 / $2,816.91	Facility	52	$856.87	$2,816.91	$2,816.91
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $107.11 / $352.11 / $352.11	Facility	AS	$107.11	$352.11	$352.11
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 $726.33 / $1,499.86 / $1,932.80	Facility		$726.33	$1,499.86	$1,932.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,094.66 / $1,480.80 / $1,547.70	Facility		$1,094.66	$1,480.80	$1,547.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.28 / $2,010.99 / $3,875.03	Facility		$1,038.28	$2,010.99	$3,875.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00