Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,366.50 / $19,724.40 / $34,734.60	Facility		$12,366.50	$19,724.40	$34,734.60
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $9,685.07 / $9,685.07 / $9,685.07	Facility		$9,685.07	$9,685.07	$9,685.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $16,245.36 / $23,616.10	Facility		$6,746.00	$16,245.36	$23,616.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,434.87 / $15,336.74 / $25,692.62	Facility		$11,434.87	$15,336.74	$25,692.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,356.85 / $12,906.30 / $14,992.09	Facility		$8,356.85	$12,906.30	$14,992.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $14,619.90 / $22,101.38	Facility		$6,409.00	$14,619.90	$22,101.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,167.62 / $15,767.01 / $21,415.29	Facility		$11,167.62	$15,767.01	$21,415.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $12,354.59 / $32,184.06	Facility		$3,775.00	$12,354.59	$32,184.06