Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110,800.00 / $176,724.00 / $311,211.00	Facility		$110,800.00	$176,724.00	$311,211.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71,437.91 / $169,552.11 / $243,769.78	Facility		$71,437.91	$169,552.11	$243,769.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76,247.60 / $99,999.00 / $99,999.00	Facility		$76,247.60	$99,999.00	$99,999.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71,437.91 / $149,735.35 / $229,669.24	Facility		$71,437.91	$149,735.35	$229,669.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120,821.75 / $163,115.35 / $221,947.52	Facility		$120,821.75	$163,115.35	$221,947.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $110,693.32 / $302,449.96	Facility		$3,775.00	$110,693.32	$302,449.96