Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,781.00 / $3,778.00	Facility		$1,100.00	$2,781.00	$3,778.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $7,738.00 / $8,000.00	Facility		$650.00	$7,738.00	$8,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,671.00 / $2,700.00	Facility		$1,350.00	$1,671.00	$2,700.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,158.00 / $1,500.00 / $2,400.00	Facility		$1,158.00	$1,500.00	$2,400.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $2,025.00	Facility		$650.00	$650.00	$2,025.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,455.00 / $2,185.00	Facility		$1,084.00	$1,455.00	$2,185.00