Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.00 / $1,100.00 / $4,958.00	Facility		$636.00	$1,100.00	$4,958.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $354.00 / $724.00 / $5,000.00	Facility		$354.00	$724.00	$5,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $775.00 / $1,094.39	Facility		$500.00	$775.00	$1,094.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $688.00 / $850.00	Facility		$681.00	$688.00	$850.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.00 / $419.77 / $661.00	Facility		$354.00	$419.77	$661.00
United Facility/Professional Facility Modifier Low / Median / High Price $811.00 / $811.00 / $1,206.00	Facility		$811.00	$811.00	$1,206.00