Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.71 / $7,920.26 / $24,827.00	Facility		$1,446.71	$7,920.26	$24,827.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $889.40 / $1,299.96 / $1,695.63	Facility	54	$889.40	$1,299.96	$1,695.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,287.13 / $6,603.99 / $14,605.02	Facility		$1,287.13	$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 $1,431.00 / $1,431.00 / $2,876.24	Facility		$1,431.00	$1,431.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $957.67 / $1,452.18 / $2,522.36	Facility		$957.67	$1,452.18	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,100.05 / $1,501.50 / $1,567.80	Facility		$1,100.05	$1,501.50	$1,567.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.39 / $1,032.39 / $1,126.18	Facility		$1,032.39	$1,032.39	$1,126.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,840.91 / $6,600.21 / $12,632.68	Facility		$4,840.91	$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