Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $4,823.00 / $7,533.00	Facility		$495.00	$4,823.00	$7,533.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,794.00 / $10,000.00	Facility		$650.00	$1,794.00	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,366.00 / $2,951.00	Facility		$675.00	$2,366.00	$2,951.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Facility		$1,500.00	$1,500.00	$1,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Facility		$650.00	$650.00	$650.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,858.00 / $3,900.00	Facility		$1,084.00	$1,858.00	$3,900.00