Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.45 / $1,733.00 / $20,680.40	Facility		$815.45	$1,733.00	$20,680.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $163.09 / $222.94 / $360.92	Facility	53	$163.09	$222.94	$360.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $879.73 / $6,678.18 / $31,754.00	Facility		$879.73	$6,678.18	$31,754.00
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $178.38 / $6,350.80 / $6,350.80	Facility	53	$178.38	$6,350.80	$6,350.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $810.60 / $1,418.65 / $22,303.11	Facility		$810.60	$1,418.65	$22,303.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $967.75 / $1,225.76 / $1,307.17	Facility		$967.75	$1,225.76	$1,307.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.73 / $879.73 / $882.01	Facility		$879.73	$879.73	$882.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,116.34 / $14,116.34 / $17,784.43	Facility		$14,116.34	$14,116.34	$17,784.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $22,177.00	Facility		$3,028.00	$11,540.00	$22,177.00