Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $334.00 / $338.00	Facility		$280.00	$334.00	$338.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $283.00 / $385.00 / $2,000.00	Facility		$283.00	$385.00	$2,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $381.00 / $790.00	Facility		$270.00	$381.00	$790.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $350.00 / $525.00	Facility		$165.00	$350.00	$525.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $385.00 / $431.95	Facility		$328.00	$385.00	$431.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $310.00 / $412.00	Facility		$260.00	$310.00	$412.00