Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $7,681.00 / $14,339.00	Facility		$1,700.00	$7,681.00	$14,339.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $7,738.00 / $10,000.00	Facility		$650.00	$7,738.00	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $2,260.00 / $18,331.00	Facility		$1,600.00	$2,260.00	$18,331.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
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 / $1,385.00 / $3,900.00	Facility		$1,084.00	$1,385.00	$3,900.00