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 $618.20 / $3,500.00 / $10,000.00	Facility		$618.20	$3,500.00	$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 $536.65 / $650.00 / $720.00	Facility		$536.65	$650.00	$720.00
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 $1,084.00 / $1,102.00 / $1,134.00	Facility		$1,084.00	$1,102.00	$1,134.00