Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.54 / $9,464.00 / $22,024.00	Facility		$652.54	$9,464.00	$22,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $326.27 / $445.63 / $721.54	Facility	52	$326.27	$445.63	$721.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $130.51 / $178.25 / $288.62	Facility	53	$130.51	$178.25	$288.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,892.57 / $16,197.56 / $31,621.27	Facility		$9,892.57	$16,197.56	$31,621.27
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $9,381.62 / $25,403.20 / $25,403.20	Facility	52	$9,381.62	$25,403.20	$25,403.20
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $2,345.41 / $6,350.80 / $6,350.80	Facility	53	$2,345.41	$6,350.80	$6,350.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,593.66 / $17,691.00 / $36,898.00	Facility		$8,593.66	$17,691.00	$36,898.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $716.50 / $1,265.24 / $14,684.13	Facility		$716.50	$1,265.24	$14,684.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $777.63 / $981.52 / $1,056.04	Facility		$777.63	$981.52	$1,056.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.51 / $703.51 / $706.07	Facility		$703.51	$703.51	$706.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,709.09 / $16,197.56 / $30,984.11	Facility		$11,709.09	$16,197.56	$30,984.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $21,663.00	Facility		$3,028.00	$11,540.00	$21,663.00