Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,958.00 / $11,218.00 / $11,855.00	Facility		$4,958.00	$11,218.00	$11,855.00
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 $2,492.00 / $7,130.00 / $10,785.00	Facility		$2,492.00	$7,130.00	$10,785.00
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 $1,047.00 / $3,900.00 / $10,141.00	Facility		$1,047.00	$3,900.00	$10,141.00