Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,360.70 / $24,500.00 / $43,144.50	Facility		$15,360.70	$24,500.00	$43,144.50
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $12,760.54 / $12,760.54 / $12,760.54	Facility		$12,760.54	$12,760.54	$12,760.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,613.41 / $20,900.38 / $30,383.16	Facility		$9,613.41	$20,900.38	$30,383.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,203.48 / $19,050.07 / $31,913.31	Facility		$14,203.48	$19,050.07	$31,913.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,109.06 / $17,559.30 / $21,723.52	Facility		$12,109.06	$17,559.30	$21,723.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,611.25 / $18,701.65 / $28,434.40	Facility		$6,611.25	$18,701.65	$28,434.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,367.64 / $20,125.25 / $27,361.39	Facility		$14,367.64	$20,125.25	$27,361.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $15,345.89 / $39,976.44	Facility		$3,775.00	$15,345.89	$39,976.44