Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,685.00 / $9,283.00 / $17,332.00	Facility		$2,685.00	$9,283.00	$17,332.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,700.00 / $13,383.00	Facility		$650.00	$3,700.00	$13,383.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,600.00	Facility		$2,400.00	$2,400.00	$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 / $1,084.00 / $3,930.00	Facility		$1,084.00	$1,084.00	$3,930.00