Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.83 / $289.83 / $289.83	Facility		$289.83	$289.83	$289.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $230.00 / $360.95	Facility		$230.00	$230.00	$360.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.81 / $335.81 / $358.48	Facility		$335.81	$335.81	$358.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $180.25 / $247.59	Facility		$132.00	$180.25	$247.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $230.00 / $359.06	Facility		$230.00	$230.00	$359.06