Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,207.00 / $24,254.80 / $42,712.70	Facility		$15,207.00	$24,254.80	$42,712.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,135.64 / $19,976.06 / $28,655.54	Facility		$8,135.64	$19,976.06	$28,655.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,061.31 / $18,859.39 / $31,593.89	Facility		$14,061.31	$18,859.39	$31,593.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,689.52 / $16,308.78 / $19,887.00	Facility		$10,689.52	$16,308.78	$19,887.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $17,162.90 / $27,343.74	Facility		$6,409.00	$17,162.90	$27,343.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,187.38 / $19,580.66 / $26,665.90	Facility		$14,187.38	$19,580.66	$26,665.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $15,192.29 / $39,576.33	Facility		$3,775.00	$15,192.29	$39,576.33