Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,158.10 / $33,746.60 / $59,427.90	Facility		$21,158.10	$33,746.60	$59,427.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,166.76 / $27,695.16 / $41,305.58	Facility		$10,166.76	$27,695.16	$41,305.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,564.06 / $26,239.82 / $43,957.84	Facility		$19,564.06	$26,239.82	$43,957.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,818.47 / $23,131.35 / $25,273.91	Facility		$13,818.47	$23,131.35	$25,273.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,894.73 / $25,760.27 / $37,678.51	Facility		$6,894.73	$25,760.27	$37,678.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,038.59 / $27,487.02 / $37,405.08	Facility		$19,038.59	$27,487.02	$37,405.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $21,137.64 / $55,064.12	Facility		$3,775.00	$21,137.64	$55,064.12