Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,138.10 / $17,765.00 / $31,284.30	Facility		$11,138.10	$17,765.00	$31,284.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,253.07 / $15,532.43 / $22,765.26	Facility		$7,253.07	$15,532.43	$22,765.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,298.99 / $13,813.27 / $23,140.46	Facility		$10,298.99	$13,813.27	$23,140.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,157.70 / $12,401.50 / $16,428.81	Facility		$9,157.70	$12,401.50	$16,428.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $13,675.55 / $21,305.11	Facility		$6,409.00	$13,675.55	$21,305.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,765.28 / $15,079.30 / $20,501.13	Facility		$10,765.28	$15,079.30	$20,501.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $11,127.36 / $28,987.07	Facility		$3,775.00	$11,127.36	$28,987.07