Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.08 / $7,256.76 / $27,982.24	Facility		$1,102.08	$7,256.76	$27,982.24
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $408.04 / $557.73 / $901.65	Facility	52	$408.04	$557.73	$901.65
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $163.22 / $223.09 / $360.66	Facility	53	$163.22	$223.09	$360.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17,784.43 / $31,176.05 / $59,636.26	Facility		$17,784.43	$31,176.05	$59,636.26
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $713.45 / $25,403.20 / $25,403.20	Facility	52	$713.45	$25,403.20	$25,403.20
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $178.36 / $6,350.80 / $6,350.80	Facility	53	$178.36	$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 / $1,564.62 / $37,088.49	Facility		$810.60	$1,564.62	$37,088.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $967.26 / $1,225.53 / $1,314.44	Facility		$967.26	$1,225.53	$1,314.44
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 $20,216.27 / $31,176.05 / $59,636.26	Facility		$20,216.27	$31,176.05	$59,636.26
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