Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,202.59 / $27,437.70 / $48,317.90	Facility		$17,202.59	$27,437.70	$48,317.90
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $18,676.13 / $18,676.13 / $18,676.13	Facility		$18,676.13	$18,676.13	$18,676.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,326.96 / $23,117.76 / $33,606.58	Facility		$9,326.96	$23,117.76	$33,606.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,906.57 / $21,334.30 / $35,739.94	Facility		$15,906.57	$21,334.30	$35,739.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,207.80 / $19,126.70 / $23,694.65	Facility		$13,207.80	$19,126.70	$23,694.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,820.74 / $20,804.66 / $31,451.08	Facility		$6,820.74	$20,804.66	$31,451.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,891.94 / $22,432.98 / $30,469.24	Facility		$15,891.94	$22,432.98	$30,469.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,185.97 / $44,769.91	Facility		$3,775.00	$17,185.97	$44,769.91