Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,273.60 / $22,766.10 / $40,091.10	Facility		$14,273.60	$22,766.10	$40,091.10
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $18,520.96 / $18,520.96 / $18,520.96	Facility		$18,520.96	$18,520.96	$18,520.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,591.59 / $18,996.79 / $27,842.85	Facility		$7,591.59	$18,996.79	$27,842.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,198.28 / $17,701.87 / $29,654.76	Facility		$13,198.28	$17,701.87	$29,654.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,283.00 / $15,820.20 / $20,241.58	Facility		$11,283.00	$15,820.20	$20,241.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $17,172.21 / $26,057.02	Facility		$6,600.00	$17,172.21	$26,057.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,166.37 / $18,442.59 / $25,073.72	Facility		$13,166.37	$18,442.59	$25,073.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $14,259.84 / $37,147.26	Facility		$3,775.00	$14,259.84	$37,147.26