Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,690.00 / $25,025.10 / $44,069.30	Facility		$15,690.00	$25,025.10	$44,069.30
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $13,099.38 / $16,652.75 / $17,510.59	Facility		$13,099.38	$16,652.75	$17,510.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,137.50 / $21,322.04 / $30,996.13	Facility		$8,137.50	$21,322.04	$30,996.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,507.91 / $19,458.38 / $32,597.33	Facility		$14,507.91	$19,458.38	$32,597.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,815.76 / $17,224.77 / $21,197.34	Facility		$11,815.76	$17,224.77	$21,197.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $18,945.68 / $29,008.06	Facility		$6,600.00	$18,945.68	$29,008.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,657.50 / $20,531.28 / $27,913.39	Facility		$14,657.50	$20,531.28	$27,913.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $15,674.80 / $40,833.30	Facility		$3,775.00	$15,674.80	$40,833.30