Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,017.40 / $22,357.40 / $39,371.40	Facility		$14,017.40	$22,357.40	$39,371.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $16,836.68 / $16,836.68 / $16,836.68	Facility		$16,836.68	$16,836.68	$16,836.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $19,081.59 / $27,739.16	Facility		$6,746.00	$19,081.59	$27,739.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,961.34 / $17,384.08 / $29,122.39	Facility		$12,961.34	$17,384.08	$29,122.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,524.33 / $14,658.60 / $17,413.38	Facility		$9,524.33	$14,658.60	$17,413.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $17,168.49 / $25,959.98	Facility		$6,409.00	$17,168.49	$25,959.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,117.34 / $18,411.82 / $25,007.56	Facility		$13,117.34	$18,411.82	$25,007.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $14,003.84 / $36,480.37	Facility		$3,775.00	$14,003.84	$36,480.37