Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $2,781.00 / $3,778.00	Facility		$1,232.00	$2,781.00	$3,778.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,133.00 / $1,310.00 / $8,000.00	Facility		$1,133.00	$1,310.00	$8,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,745.00 / $3,436.00	Facility		$1,350.00	$1,745.00	$3,436.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,350.00 / $1,667.42	Facility		$350.00	$1,350.00	$1,667.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,158.61 / $1,297.10 / $1,941.00	Facility		$1,158.61	$1,297.10	$1,941.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,217.00 / $2,025.00	Facility		$650.00	$1,217.00	$2,025.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,247.00 / $1,731.00 / $5,144.00	Facility		$1,247.00	$1,731.00	$5,144.00