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 $97.00 / $221.00 / $2,570.00	Facility		$97.00	$221.00	$2,570.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $270.00 / $477.00	Facility		$29.00	$270.00	$477.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $280.00 / $475.00	Facility		$165.00	$280.00	$475.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $121.00 / $257.50	Facility		$97.00	$121.00	$257.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $283.00 / $310.00	Facility		$120.00	$283.00	$310.00