Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,732.80 / $17,118.50 / $30,145.80	Facility		$10,732.80	$17,118.50	$30,145.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,599.00 / $13,751.08 / $19,990.13	Facility		$6,599.00	$13,751.08	$19,990.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,924.20 / $13,310.59 / $22,298.34	Facility		$9,924.20	$13,310.59	$22,298.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,625.88 / $11,116.85 / $13,680.74	Facility		$7,625.88	$11,116.85	$13,680.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,858.20 / $12,453.52 / $18,707.97	Facility		$5,858.20	$12,453.52	$18,707.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,452.96 / $13,376.13 / $18,200.61	Facility		$9,452.96	$13,376.13	$18,200.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $10,722.42 / $27,932.19	Facility		$3,775.00	$10,722.42	$27,932.19