Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84,835.70 / $135,311.00 / $238,283.00	Facility		$84,835.70	$135,311.00	$238,283.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42,168.06 / $109,041.55 / $158,515.16	Facility		$42,168.06	$109,041.55	$158,515.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78,444.37 / $105,211.60 / $176,254.02	Facility		$78,444.37	$105,211.60	$176,254.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57,937.66 / $85,903.95 / $99,685.82	Facility		$57,937.66	$85,903.95	$99,685.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,120.70 / $98,529.87 / $148,348.07	Facility		$28,120.70	$98,529.87	$148,348.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74,958.92 / $106,068.35 / $144,324.89	Facility		$74,958.92	$106,068.35	$144,324.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $84,753.79 / $231,574.78	Facility		$3,775.00	$84,753.79	$231,574.78