Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $10,126.00 / $12,770.00	Facility		$800.00	$10,126.00	$12,770.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $13,383.00 / $13,383.00	Facility		$650.00	$13,383.00	$13,383.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $6,662.00 / $16,131.00	Facility		$1,850.00	$6,662.00	$16,131.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,145.00 / $10,145.00 / $10,145.00	Facility		$10,145.00	$10,145.00	$10,145.00
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 $855.00 / $1,939.00 / $6,231.00	Facility		$855.00	$1,939.00	$6,231.00