Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,122.60 / $17,740.30 / $31,240.60	Facility		$11,122.60	$17,740.30	$31,240.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,938.73 / $15,362.57 / $21,782.44	Facility		$6,938.73	$15,362.57	$21,782.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,284.62 / $13,794.01 / $23,108.19	Facility		$10,284.62	$13,794.01	$23,108.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,965.21 / $12,457.50 / $16,083.51	Facility		$8,965.21	$12,457.50	$16,083.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $13,184.26 / $21,629.29	Facility		$6,409.00	$13,184.26	$21,629.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,222.42 / $15,385.01 / $21,093.11	Facility		$11,222.42	$15,385.01	$21,093.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $11,111.84 / $28,946.66	Facility		$3,775.00	$11,111.84	$28,946.66