Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,501.70 / $19,939.80 / $35,114.10	Facility		$12,501.70	$19,939.80	$35,114.10
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $10,502.86 / $10,502.86 / $10,502.86	Facility		$10,502.86	$10,502.86	$10,502.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,188.50 / $17,109.66 / $24,872.54	Facility		$7,188.50	$17,109.66	$24,872.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,559.80 / $15,504.30 / $25,973.33	Facility		$11,559.80	$15,504.30	$25,973.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,169.71 / $14,648.70 / $18,402.00	Facility		$10,169.71	$14,648.70	$18,402.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $15,173.32 / $23,277.22	Facility		$6,600.00	$15,173.32	$23,277.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,761.77 / $16,475.12 / $22,398.82	Facility		$11,761.77	$16,475.12	$22,398.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $12,489.58 / $32,535.69	Facility		$3,775.00	$12,489.58	$32,535.69