Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,157.30 / $24,175.50 / $42,573.10	Facility		$15,157.30	$24,175.50	$42,573.10
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $11,821.23 / $11,821.23 / $11,821.23	Facility		$11,821.23	$11,821.23	$11,821.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,560.69 / $20,698.99 / $30,090.40	Facility		$12,560.69	$20,698.99	$30,090.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,015.36 / $18,797.75 / $31,490.64	Facility		$14,015.36	$18,797.75	$31,490.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,303.16 / $19,928.70 / $26,627.71	Facility		$12,303.16	$19,928.70	$26,627.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,129.78 / $18,481.83 / $28,160.42	Facility		$8,129.78	$18,481.83	$28,160.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,693.94 / $19,931.34 / $27,097.74	Facility		$14,693.94	$19,931.34	$27,097.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $15,142.64 / $39,446.99	Facility		$3,775.00	$15,142.64	$39,446.99