Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31,230.80 / $49,812.50 / $87,719.80	Facility		$31,230.80	$49,812.50	$87,719.80
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $35,101.01 / $35,101.01 / $39,058.28	Facility		$35,101.01	$35,101.01	$39,058.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,803.49 / $41,892.55 / $61,083.49	Facility		$15,803.49	$41,892.55	$61,083.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,877.96 / $38,731.86 / $64,884.92	Facility		$28,877.96	$38,731.86	$64,884.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,268.84 / $31,661.85 / $38,345.43	Facility		$20,268.84	$31,661.85	$38,345.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,146.64 / $37,054.94 / $57,165.62	Facility		$10,146.64	$37,054.94	$57,165.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,885.26 / $40,460.60 / $55,008.39	Facility		$28,885.26	$40,460.60	$55,008.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $31,200.67 / $81,278.59	Facility		$3,775.00	$31,200.67	$81,278.59