Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111,439.00 / $177,742.00 / $313,004.00	Facility		$111,439.00	$177,742.00	$313,004.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26,979.54 / $113,008.89 / $211,284.50	Facility		$26,979.54	$113,008.89	$211,284.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49,973.80 / $63,350.00 / $89,652.44	Facility		$49,973.80	$63,350.00	$89,652.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,208.16 / $121,821.33 / $184,996.21	Facility		$24,208.16	$121,821.33	$184,996.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69,416.92 / $109,663.44 / $169,434.22	Facility		$69,416.92	$109,663.44	$169,434.22
United Facility/Professional Facility Modifier Low / Median / High Price $47,467.26 / $63,322.11 / $160,872.01	Facility		$47,467.26	$63,322.11	$160,872.01