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
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $530.00 / $10,000.00	Facility		$275.00	$530.00	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $490.00 / $1,600.00	Facility		$425.00	$490.00	$1,600.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $535.00 / $18,700.00	Facility		$445.00	$535.00	$18,700.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $375.00 / $854.42	Facility		$225.00	$375.00	$854.42
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