Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $39,810.72 / $66,069.34	Facility		$26,302.68	$39,810.72	$66,069.34
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $17,782.79 / $26,915.35	Facility		$16,218.10	$17,782.79	$26,915.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $31,622.78 / $52,480.75	Facility		$22,908.68	$31,622.78	$52,480.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $27,542.29 / $35,481.34	Facility		$21,877.62	$27,542.29	$35,481.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $35,481.34 / $51,286.14	Facility		$21,877.62	$35,481.34	$51,286.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $33,113.11 / $43,651.58	Facility		$23,442.29	$33,113.11	$43,651.58
United Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $36,307.81 / $50,118.72	Facility		$12,302.69	$36,307.81	$50,118.72