Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117,489.76 / $177,827.94 / $295,120.92	Facility		$117,489.76	$177,827.94	$295,120.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60,255.96 / $63,095.73 / $100,000.00	Facility		$60,255.96	$63,095.73	$100,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69,183.10 / $165,958.69 / $245,470.89	Facility		$69,183.10	$165,958.69	$245,470.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69,183.10 / $131,825.67 / $169,824.37	Facility		$69,183.10	$131,825.67	$169,824.37
United Facility/Professional Facility Modifier Low / Median / High Price $54,954.09 / $162,181.01 / $223,872.11	Facility		$54,954.09	$162,181.01	$223,872.11