Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.35 / $3,696.00 / $4,073.00	Facility		$1,591.35	$3,696.00	$4,073.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,532.00 / $5,034.00 / $7,738.00	Facility		$2,532.00	$5,034.00	$7,738.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,279.00 / $3,069.00 / $4,763.00	Facility		$1,279.00	$3,069.00	$4,763.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,200.00	Facility		$1,800.00	$1,800.00	$2,200.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,532.00 / $2,532.00 / $2,690.00	Facility		$2,532.00	$2,532.00	$2,690.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,278.00 / $4,643.00 / $6,475.00	Facility		$2,278.00	$4,643.00	$6,475.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $2,489.00 / $3,900.00	Facility		$1,084.00	$2,489.00	$3,900.00