Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,006.80 / $44,670.20 / $78,664.30	Facility		$28,006.80	$44,670.20	$78,664.30
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $35,116.33 / $35,116.33 / $35,116.33	Facility		$35,116.33	$35,116.33	$35,116.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18,376.80 / $38,175.76 / $55,496.62	Facility		$18,376.80	$38,175.76	$55,496.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,896.82 / $34,733.48 / $58,186.70	Facility		$25,896.82	$34,733.48	$58,186.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21,191.14 / $30,917.90 / $38,016.68	Facility		$21,191.14	$30,917.90	$38,016.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,569.86 / $34,037.05 / $51,937.09	Facility		$11,569.86	$34,037.05	$51,937.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,243.34 / $36,759.96 / $49,977.17	Facility		$26,243.34	$36,759.96	$49,977.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $27,979.75 / $76,449.73	Facility		$3,775.00	$27,979.75	$76,449.73