Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175,983.00 / $280,689.00 / $494,293.00	Facility		$175,983.00	$280,689.00	$494,293.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $109,425.52 / $232,074.88 / $345,269.24	Facility		$109,425.52	$232,074.88	$345,269.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97,799.02 / $99,999.00 / $99,999.00	Facility		$97,799.02	$99,999.00	$99,999.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88,980.73 / $206,423.28 / $345,269.24	Facility		$88,980.73	$206,423.28	$345,269.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167,590.26 / $218,520.45 / $361,433.59	Facility		$167,590.26	$218,520.45	$361,433.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $175,812.88 / $480,377.67	Facility		$3,775.00	$175,812.88	$480,377.67