Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87,039.40 / $138,826.00 / $244,473.00	Facility		$87,039.40	$138,826.00	$244,473.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45,155.22 / $110,379.94 / $164,812.23	Facility		$45,155.22	$110,379.94	$164,812.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57,958.28 / $89,649.45 / $97,799.02	Facility		$57,958.28	$89,649.45	$97,799.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,018.14 / $100,600.39 / $151,179.16	Facility		$30,018.14	$100,600.39	$151,179.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75,878.98 / $107,407.31 / $155,397.81	Facility		$75,878.98	$107,407.31	$155,397.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $86,955.37 / $237,590.20	Facility		$3,775.00	$86,955.37	$237,590.20