Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64,069.00 / $102,189.00 / $179,954.00	Facility		$64,069.00	$102,189.00	$179,954.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28,910.91 / $81,751.27 / $118,842.91	Facility		$28,910.91	$81,751.27	$118,842.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59,242.18 / $79,457.13 / $133,109.26	Facility		$59,242.18	$79,457.13	$133,109.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41,007.43 / $63,140.55 / $73,566.88	Facility		$41,007.43	$63,140.55	$73,566.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,680.68 / $72,839.39 / $111,220.38	Facility		$20,680.68	$72,839.39	$111,220.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56,198.64 / $78,719.39 / $107,023.31	Facility		$56,198.64	$78,719.39	$107,023.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $64,007.13 / $174,888.20	Facility		$3,775.00	$64,007.13	$174,888.20