Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,284.50 / $22,783.40 / $40,121.69	Facility		$14,284.50	$22,783.40	$40,121.69
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $14,613.94 / $14,613.94 / $14,613.94	Facility		$14,613.94	$14,613.94	$14,613.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,428.84 / $18,793.93 / $27,367.11	Facility		$7,428.84	$18,793.93	$27,367.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,208.33 / $17,715.34 / $29,677.35	Facility		$13,208.33	$17,715.34	$29,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,680.15 / $15,142.05 / $17,366.07	Facility		$9,680.15	$15,142.05	$17,366.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $16,624.52 / $25,611.80	Facility		$6,409.00	$16,624.52	$25,611.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,941.41 / $18,127.48 / $24,645.30	Facility		$12,941.41	$18,127.48	$24,645.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $14,270.70 / $37,175.56	Facility		$3,775.00	$14,270.70	$37,175.56