Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,220.20 / $33,845.69 / $59,602.40	Facility		$21,220.20	$33,845.69	$59,602.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $22,916.36 / $22,916.36 / $22,916.36	Facility		$22,916.36	$22,916.36	$22,916.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,881.93 / $28,439.87 / $41,343.43	Facility		$10,881.93	$28,439.87	$41,343.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,621.50 / $26,316.86 / $44,086.90	Facility		$19,621.50	$26,316.86	$44,086.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,780.87 / $22,347.60 / $26,516.72	Facility		$14,780.87	$22,347.60	$26,516.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,632.26 / $25,219.94 / $38,691.68	Facility		$7,632.26	$25,219.94	$38,691.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,550.55 / $27,385.14 / $37,231.58	Facility		$19,550.55	$27,385.14	$37,231.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $21,199.70 / $57,924.43	Facility		$3,775.00	$21,199.70	$57,924.43