Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,190.40 / $30,608.30 / $53,901.20	Facility		$19,190.40	$30,608.30	$53,901.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,202.85 / $26,732.75 / $39,212.87	Facility		$7,202.85	$26,732.75	$39,212.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,744.65 / $23,799.58 / $39,869.86	Facility		$17,744.65	$23,799.58	$39,869.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,777.01 / $20,365.95 / $24,302.10	Facility		$12,777.01	$20,365.95	$24,302.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $24,116.25 / $34,230.51	Facility		$6,409.00	$24,116.25	$34,230.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,127.82 / $25,680.45 / $35,059.72	Facility		$17,127.82	$25,680.45	$35,059.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $19,171.89 / $52,383.79	Facility		$3,775.00	$19,171.89	$52,383.79