Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $507.00 / $519.00	Facility		$502.00	$507.00	$519.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $363.00 / $568.64 / $2,860.00	Facility		$363.00	$568.64	$2,860.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $520.00 / $800.00	Facility		$450.00	$520.00	$800.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $551.20 / $625.00	Facility		$536.00	$551.20	$625.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $448.00 / $660.00	Facility		$333.00	$448.00	$660.00