Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,203.50 / $19,464.30 / $34,276.60	Facility		$12,203.50	$19,464.30	$34,276.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,653.60 / $14,601.76 / $21,095.13	Facility		$6,653.60	$14,601.76	$21,095.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,284.09 / $15,134.51 / $25,353.84	Facility		$11,284.09	$15,134.51	$25,353.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,750.96 / $11,296.25 / $15,699.15	Facility		$8,750.96	$11,296.25	$15,699.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $12,648.94 / $20,692.63	Facility		$6,409.00	$12,648.94	$20,692.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,736.43 / $14,718.77 / $20,179.66	Facility		$10,736.43	$14,718.77	$20,179.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $12,191.69 / $31,759.68	Facility		$3,775.00	$12,191.69	$31,759.68