Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,937.40 / $31,799.70 / $55,999.40	Facility		$19,937.40	$31,799.70	$55,999.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $15,919.34 / $16,825.23 / $23,229.34	Facility		$15,919.34	$16,825.23	$23,229.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,906.54 / $26,714.11 / $39,153.81	Facility		$12,906.54	$26,714.11	$39,153.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,435.37 / $24,725.99 / $41,421.81	Facility		$18,435.37	$24,725.99	$41,421.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,008.95 / $21,561.10 / $30,339.76	Facility		$16,008.95	$21,561.10	$30,339.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,756.62 / $24,238.75 / $36,642.51	Facility		$8,756.62	$24,238.75	$36,642.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,515.12 / $26,064.61 / $35,401.83	Facility		$18,515.12	$26,064.61	$35,401.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $19,918.16 / $51,887.34	Facility		$3,775.00	$19,918.16	$51,887.34