Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.28 / $110.28 / $110.28	Facility		$110.28	$110.28	$110.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $166.57	Facility		$81.00	$81.00	$166.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.35 / $132.91	Facility		$84.35	$84.35	$132.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $103.50 / $120.00	Facility		$50.00	$103.50	$120.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $125.23	Facility		$81.00	$81.00	$125.23