Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.09 / $6,470.00 / $21,917.86	Facility		$1,044.09	$6,470.00	$21,917.86
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $783.08 / $1,143.40 / $1,489.66	Facility	54	$783.08	$1,143.40	$1,489.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$14,605.02
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $2,747.48 / $4,569.92 / $4,569.92	Facility	54	$2,747.48	$4,569.92	$4,569.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,876.24	Facility		$906.00	$906.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $844.98 / $1,426.06 / $2,522.36	Facility		$844.98	$1,426.06	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $967.61 / $1,322.58 / $1,394.27	Facility		$967.61	$1,322.58	$1,394.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.72 / $908.72 / $940.51	Facility		$908.72	$908.72	$940.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00