Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26,911.90 / $42,923.90 / $75,589.10	Facility		$26,911.90	$42,923.90	$75,589.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,301.97 / $37,573.67 / $52,773.33	Facility		$16,301.97	$37,573.67	$52,773.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,884.44 / $33,375.65 / $55,912.02	Facility		$24,884.44	$33,375.65	$55,912.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,506.72 / $29,945.50 / $38,753.00	Facility		$16,506.72	$29,945.50	$38,753.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,465.48 / $32,757.08 / $49,720.73	Facility		$15,465.48	$32,757.08	$49,720.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,156.51 / $35,465.05 / $48,049.06	Facility		$26,156.51	$35,465.05	$48,049.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $26,885.94 / $73,461.10	Facility		$3,775.00	$26,885.94	$73,461.10