Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $10,122.46 / $27,982.24	Facility		$1,201.78	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $1,507.37	Professional		$1,201.78	$1,201.78	$1,507.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,421.59 / $5,421.59 / $5,421.59	Facility		$5,421.59	$5,421.59	$5,421.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,303.37 / $4,303.37 / $5,421.59	Facility		$4,303.37	$4,303.37	$5,421.59
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $5,793.00	Facility		$497.00	$1,078.00	$5,793.00