Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,229.70 / $17,911.20 / $31,541.60	Facility		$11,229.70	$17,911.20	$31,541.60
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $9,281.45 / $9,281.45 / $12,860.48	Facility		$9,281.45	$9,281.45	$12,860.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $14,941.51 / $21,899.18	Facility		$6,600.00	$14,941.51	$21,899.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,383.71 / $13,926.91 / $23,330.82	Facility		$10,383.71	$13,926.91	$23,330.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,692.54 / $12,343.70 / $15,594.32	Facility		$8,692.54	$12,343.70	$15,594.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $13,507.89 / $20,494.57	Facility		$6,409.00	$13,507.89	$20,494.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,355.71 / $14,505.62 / $19,721.18	Facility		$10,355.71	$14,505.62	$19,721.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $11,218.90 / $29,225.53	Facility		$3,775.00	$11,218.90	$29,225.53