Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,467.26 / $2,769.52 / $20,680.40	Facility		$1,467.26	$2,769.52	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $518.07 / $878.95 / $1,159.08	Facility	52	$518.07	$878.95	$1,159.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $57,131.89 / $109,349.35	Facility		$12,000.00	$57,131.89	$109,349.35
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $43,896.98 / $73,014.52 / $73,014.52	Facility	52	$43,896.98	$73,014.52	$73,014.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,135.87 / $24,135.87 / $40,210.07	Facility		$24,135.87	$24,135.87	$40,210.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $993.72 / $1,823.65 / $42,431.62	Facility		$993.72	$1,823.65	$42,431.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,210.30 / $1,563.11 / $1,613.36	Facility		$1,210.30	$1,563.11	$1,613.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.53 / $1,100.46 / $16,188.40	Facility		$1,069.53	$1,100.46	$16,188.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,068.65 / $57,131.89 / $109,349.35	Facility		$37,068.65	$57,131.89	$109,349.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $11,798.00 / $43,830.00	Facility		$3,960.00	$11,798.00	$43,830.00