Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25,355.80 / $40,442.00 / $71,218.39	Facility		$25,355.80	$40,442.00	$71,218.39
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $26,331.16 / $26,331.16 / $26,331.16	Facility		$26,331.16	$26,331.16	$26,331.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,825.21 / $33,065.51 / $48,067.80	Facility		$9,825.21	$33,065.51	$48,067.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,445.57 / $31,445.80 / $52,679.07	Facility		$23,445.57	$31,445.80	$52,679.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,168.33 / $25,287.90 / $30,174.77	Facility		$16,168.33	$25,287.90	$30,174.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,950.35 / $29,961.42 / $44,984.75	Facility		$7,950.35	$29,961.42	$44,984.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,730.38 / $32,163.94 / $43,764.77	Facility		$22,730.38	$32,163.94	$43,764.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $25,331.34 / $65,988.84	Facility		$3,775.00	$25,331.34	$65,988.84