Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,402.30 / $19,781.30 / $34,834.90	Facility		$12,402.30	$19,781.30	$34,834.90
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $18,296.75 / $18,296.75 / $18,296.75	Facility		$18,296.75	$18,296.75	$18,296.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $16,866.31 / $24,518.78	Facility		$6,746.00	$16,866.31	$24,518.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,467.90 / $15,381.04 / $25,766.83	Facility		$11,467.90	$15,381.04	$25,766.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,581.41 / $12,883.20 / $15,394.95	Facility		$8,581.41	$12,883.20	$15,394.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $14,962.81 / $22,946.16	Facility		$6,409.00	$14,962.81	$22,946.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,594.48 / $16,240.80 / $22,080.25	Facility		$11,594.48	$16,240.80	$22,080.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,282.74 / $7,880.16 / $17,903.81	Facility		$5,282.74	$7,880.16	$17,903.81