Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,110.00 / $4,958.00	Facility		$1,100.00	$2,110.00	$4,958.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $880.00 / $5,000.00	Facility		$810.00	$880.00	$5,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $3,436.00	Facility		$1,300.00	$1,300.00	$3,436.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $902.00 / $1,565.00	Facility		$597.00	$902.00	$1,565.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $850.00 / $850.00	Facility		$850.00	$850.00	$850.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $880.00 / $1,121.00	Facility		$810.00	$880.00	$1,121.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,114.00 / $1,206.00 / $1,601.00	Facility		$1,114.00	$1,206.00	$1,601.00