Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,515.60 / $19,962.09 / $35,153.40	Facility		$12,515.60	$19,962.09	$35,153.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $7,594.78 / $7,594.78 / $7,594.78	Facility		$7,594.78	$7,594.78	$7,594.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,923.23 / $17,248.11 / $25,073.81	Facility		$6,923.23	$17,248.11	$25,073.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,572.72 / $15,521.63 / $26,002.36	Facility		$11,572.72	$15,521.63	$26,002.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,252.01 / $14,661.90 / $19,183.05	Facility		$10,252.01	$14,661.90	$19,183.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $15,275.78 / $23,465.59	Facility		$6,600.00	$15,275.78	$23,465.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,856.95 / $16,608.43 / $22,580.08	Facility		$11,856.95	$16,608.43	$22,580.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $12,503.54 / $32,572.06	Facility		$3,775.00	$12,503.54	$32,572.06