Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.31 / $8,803.95 / $22,024.00	Facility		$1,413.31	$8,803.95	$22,024.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $868.56 / $1,269.95 / $1,647.53	Facility	54	$868.56	$1,269.95	$1,647.53
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 $1,185.00 / $1,185.00 / $2,876.24	Facility		$1,185.00	$1,185.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $929.79 / $1,447.81 / $2,522.36	Facility		$929.79	$1,447.81	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.77 / $1,455.24 / $1,530.95	Facility		$1,039.77	$1,455.24	$1,530.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,008.83 / $1,008.83 / $1,044.25	Facility		$1,008.83	$1,008.83	$1,044.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $6,600.21 / $12,632.68	Facility		$4,818.83	$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