Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51,120.10 / $81,535.39 / $143,584.00	Facility		$51,120.10	$81,535.39	$143,584.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21,149.13 / $66,324.37 / $95,665.18	Facility		$21,149.13	$66,324.37	$95,665.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47,268.81 / $63,398.14 / $106,206.70	Facility		$47,268.81	$63,398.14	$106,206.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31,719.12 / $54,228.90 / $57,680.74	Facility		$31,719.12	$54,228.90	$57,680.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,096.47 / $58,137.38 / $92,492.43	Facility		$14,096.47	$58,137.38	$92,492.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46,735.58 / $65,464.16 / $89,002.09	Facility		$46,735.58	$65,464.16	$89,002.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $51,070.73 / $139,541.75	Facility		$3,775.00	$51,070.73	$139,541.75