Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $478.00	Facility		$140.00	$140.00	$478.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $85.15 / $246.56 / $412.30	Facility		$85.15	$246.56	$412.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $45.00 / $50.00	Facility		$29.00	$45.00	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $87.00 / $87.00	Facility		$87.00	$87.00	$87.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $43.75 / $50.00	Facility		$25.00	$43.75	$50.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $303.52 / $1,418.31	Facility		$19.71	$303.52	$1,418.31