Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $31,622.78 / $53,703.18	Facility		$21,379.62	$31,622.78	$53,703.18
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $22,908.68	Facility		$21,877.62	$21,877.62	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $25,118.86 / $41,686.94	Facility		$18,620.87	$25,118.86	$41,686.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $22,387.21 / $28,183.83	Facility		$17,378.01	$22,387.21	$28,183.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $28,183.83 / $40,738.03	Facility		$17,378.01	$28,183.83	$40,738.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $26,302.68 / $35,481.34	Facility		$19,054.61	$26,302.68	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $28,840.32 / $39,810.72	Facility		$9,772.37	$28,840.32	$39,810.72