Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,676.80 / $34,574.00 / $60,884.80	Facility		$21,676.80	$34,574.00	$60,884.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,573.85 / $28,454.56 / $41,364.76	Facility		$11,573.85	$28,454.56	$41,364.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,043.68 / $26,883.11 / $45,035.49	Facility		$20,043.68	$26,883.11	$45,035.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,398.20 / $22,176.00 / $25,966.92	Facility		$14,398.20	$22,176.00	$25,966.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,365.45 / $25,749.75 / $38,711.66	Facility		$7,365.45	$25,749.75	$38,711.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,560.64 / $27,678.70 / $37,661.80	Facility		$19,560.64	$27,678.70	$37,661.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $21,655.84 / $56,414.05	Facility		$3,775.00	$21,655.84	$56,414.05