Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $1,685.00 / $2,563.00	Facility		$1,093.00	$1,685.00	$2,563.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $244.39 / $350.00 / $420.00	Facility		$244.39	$350.00	$420.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $236.64 / $650.00 / $10,000.00	Facility		$236.64	$650.00	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $340.00 / $1,600.00	Facility		$250.00	$340.00	$1,600.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $385.00 / $18,700.00	Facility		$300.00	$385.00	$18,700.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $250.00 / $444.56	Facility		$175.00	$250.00	$444.56
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 / $1,084.00 / $1,134.00	Facility		$1,084.00	$1,084.00	$1,134.00