Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $32,359.37 / $54,954.09	Facility		$21,877.62	$32,359.37	$54,954.09
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility		$14,791.08	$14,791.08	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $25,703.96 / $42,657.95	Facility		$19,054.61	$25,703.96	$42,657.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $22,387.21 / $28,840.32	Facility		$17,782.79	$22,387.21	$28,840.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $28,183.83 / $41,686.94	Facility		$17,782.79	$28,183.83	$41,686.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $26,915.35 / $36,307.81	Facility		$19,952.62	$26,915.35	$36,307.81
United Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $29,512.09 / $40,738.03	Facility		$10,232.93	$29,512.09	$40,738.03