Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92,088.20 / $146,879.00 / $258,654.00	Facility		$92,088.20	$146,879.00	$258,654.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42,201.50 / $116,615.58 / $187,716.49	Facility		$42,201.50	$116,615.58	$187,716.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58,920.55 / $90,822.62 / $99,999.00	Facility		$58,920.55	$90,822.62	$99,999.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,131.36 / $112,435.33 / $177,477.56	Facility		$35,131.36	$112,435.33	$177,477.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89,078.52 / $119,076.24 / $162,042.19	Facility		$89,078.52	$119,076.24	$162,042.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $91,999.30 / $239,660.68	Facility		$3,775.00	$91,999.30	$239,660.68