Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,887.20 / $25,339.70 / $44,623.30	Facility		$15,887.20	$25,339.70	$44,623.30
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $10,513.06 / $10,513.06 / $10,513.06	Facility		$10,513.06	$10,513.06	$10,513.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,388.85 / $21,525.53 / $31,391.30	Facility		$7,388.85	$21,525.53	$31,391.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,690.28 / $19,702.98 / $33,007.10	Facility		$14,690.28	$19,702.98	$33,007.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,733.06 / $16,316.85 / $19,643.66	Facility		$10,733.06	$16,316.85	$19,643.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $19,577.21 / $29,284.89	Facility		$6,409.00	$19,577.21	$29,284.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,797.39 / $20,938.59 / $28,490.69	Facility		$14,797.39	$20,938.59	$28,490.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $15,871.85 / $41,346.58	Facility		$3,775.00	$15,871.85	$41,346.58