Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,454.79 / $16,675.20 / $29,365.00	Facility		$10,454.79	$16,675.20	$29,365.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,162.68 / $13,805.62 / $20,069.41	Facility		$6,162.68	$13,805.62	$20,069.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,667.15 / $12,965.83 / $21,720.80	Facility		$9,667.15	$12,965.83	$21,720.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,596.09 / $11,180.40 / $13,627.30	Facility		$7,596.09	$11,180.40	$13,627.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,881.44 / $12,453.52 / $18,782.16	Facility		$5,881.44	$12,453.52	$18,782.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,490.45 / $13,429.19 / $18,243.56	Facility		$9,490.45	$13,429.19	$18,243.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $10,444.70 / $27,208.72	Facility		$3,775.00	$10,444.70	$27,208.72