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 $620.00 / $620.00 / $620.00	Facility		$620.00	$620.00	$620.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $454.01 / $688.50 / $10,000.00	Facility		$454.01	$688.50	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $589.91 / $1,600.00	Facility		$500.00	$589.91	$1,600.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $550.00 / $957.00	Facility		$480.00	$550.00	$957.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $600.00 / $1,170.09	Facility		$175.00	$600.00	$1,170.09
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 / $1,102.00 / $1,134.00	Facility		$1,084.00	$1,102.00	$1,134.00