Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.26 / $2,678.32 / $20,680.40	Facility		$1,410.26	$2,678.32	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $705.13 / $949.22 / $1,472.56	Facility	52	$705.13	$949.22	$1,472.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,427.67 / $8,412.67	Facility		$55.00	$1,427.67	$8,412.67
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,156.92 / $3,805.14 / $3,805.14	Facility	52	$1,156.92	$3,805.14	$3,805.14
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $144.62 / $475.64 / $475.64	Facility	AS	$144.62	$475.64	$475.64
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 $983.94 / $1,972.08 / $2,611.08	Facility		$983.94	$1,972.08	$2,611.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,486.17 / $1,995.68 / $2,093.08	Facility		$1,486.17	$1,995.68	$2,093.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,407.02 / $1,407.02 / $1,427.67	Facility		$1,407.02	$1,407.02	$1,427.67
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00