Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,781.00 / $3,778.00	Facility		$1,100.00	$2,781.00	$3,778.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $13,383.00 / $13,383.00	Facility		$650.00	$13,383.00	$13,383.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,671.00 / $2,700.00	Facility		$1,350.00	$1,671.00	$2,700.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $1,685.00 / $2,600.00	Facility		$1,265.00	$1,685.00	$2,600.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $2,180.00	Facility		$650.00	$650.00	$2,180.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,463.00 / $2,288.00	Facility		$1,084.00	$1,463.00	$2,288.00