Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30,761.80 / $49,064.40 / $86,402.50	Facility		$30,761.80	$49,064.40	$86,402.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,615.20 / $41,180.72 / $60,119.81	Facility		$13,615.20	$41,180.72	$60,119.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,444.29 / $38,150.21 / $63,910.51	Facility		$28,444.29	$38,150.21	$63,910.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,133.65 / $30,767.55 / $37,740.48	Facility		$20,133.65	$30,767.55	$37,740.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,836.70 / $36,427.15 / $56,263.76	Facility		$9,836.70	$36,427.15	$56,263.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,429.56 / $39,822.28 / $54,140.56	Facility		$28,429.56	$39,822.28	$54,140.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $30,732.11 / $80,057.99	Facility		$3,775.00	$30,732.11	$80,057.99