Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,571.18 / $5,128.00 / $20,680.40	Facility		$1,571.18	$5,128.00	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $568.02 / $941.21 / $1,232.58	Facility	52	$568.02	$941.21	$1,232.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26,542.00 / $57,131.89 / $109,349.35	Facility		$26,542.00	$57,131.89	$109,349.35
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $43,846.79 / $72,931.03 / $72,931.03	Facility	52	$43,846.79	$72,931.03	$72,931.03
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $5,480.85 / $9,116.37 / $9,116.37	Facility	AS	$5,480.85	$9,116.37	$9,116.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,108.27 / $24,108.27 / $40,164.10	Facility		$24,108.27	$24,108.27	$40,164.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,063.82 / $1,940.24 / $42,431.62	Facility		$1,063.82	$1,940.24	$42,431.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,285.76 / $1,662.94 / $1,733.32	Facility		$1,285.76	$1,662.94	$1,733.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,144.28 / $1,179.52 / $16,004.75	Facility		$1,144.28	$1,179.52	$16,004.75
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