Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29,727.50 / $47,414.70 / $83,497.39	Facility		$29,727.50	$47,414.70	$83,497.39
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $23,690.88 / $23,690.88 / $35,903.17	Facility		$23,690.88	$23,690.88	$35,903.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18,524.00 / $39,255.83 / $57,222.69	Facility		$18,524.00	$39,255.83	$57,222.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,487.91 / $36,867.49 / $61,761.66	Facility		$27,487.91	$36,867.49	$61,761.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21,202.60 / $31,623.90 / $38,037.23	Facility		$21,202.60	$31,623.90	$38,037.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,453.07 / $34,722.58 / $53,552.46	Facility		$10,453.07	$34,722.58	$53,552.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,059.56 / $37,903.28 / $51,531.57	Facility		$27,059.56	$37,903.28	$51,531.57
United Facility/Professional Facility Modifier Low / Median / High Price $12,662.43 / $17,598.86 / $42,914.45	Facility		$12,662.43	$17,598.86	$42,914.45