Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.88 / $213.88 / $213.88	Facility		$213.88	$213.88	$213.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $201.00 / $359.06	Facility		$201.00	$201.00	$359.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $156.30 / $335.81	Facility		$156.30	$156.30	$335.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $160.00 / $202.00	Facility		$125.00	$160.00	$202.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $201.00 / $359.06	Facility		$200.20	$201.00	$359.06