Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,185.80 / $30,600.90 / $53,888.10	Facility		$19,185.80	$30,600.90	$53,888.10
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $25,706.26 / $25,706.26 / $25,706.26	Facility		$25,706.26	$25,706.26	$25,706.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,353.00 / $25,844.90 / $37,571.07	Facility		$12,353.00	$25,844.90	$37,571.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,740.34 / $23,793.80 / $39,860.18	Facility		$17,740.34	$23,793.80	$39,860.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,975.43 / $20,373.09 / $25,071.77	Facility		$13,975.43	$20,373.09	$25,071.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,098.05 / $23,053.39 / $35,161.28	Facility		$7,098.05	$23,053.39	$35,161.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,766.66 / $24,886.40 / $33,834.42	Facility		$17,766.66	$24,886.40	$33,834.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $19,167.23 / $49,931.16	Facility		$3,775.00	$19,167.23	$49,931.16