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 $366.59 / $425.00 / $450.00	Facility		$366.59	$425.00	$450.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $576.77 / $10,000.00	Facility		$225.00	$576.77	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $420.00 / $1,600.00	Facility		$350.00	$420.00	$1,600.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $472.00 / $18,700.00	Facility		$375.00	$472.00	$18,700.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $300.00 / $576.77	Facility		$225.00	$300.00	$576.77
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