Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,535.90 / $21,589.50 / $38,019.19	Facility		$13,535.90	$21,589.50	$38,019.19
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $16,769.99 / $16,769.99 / $16,769.99	Facility		$16,769.99	$16,769.99	$16,769.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $18,114.50 / $26,333.30	Facility		$6,746.00	$18,114.50	$26,333.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,516.18 / $16,787.02 / $28,122.17	Facility		$12,516.18	$16,787.02	$28,122.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,125.62 / $13,838.55 / $16,530.84	Facility		$9,125.62	$13,838.55	$16,530.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $16,231.45 / $24,644.29	Facility		$6,409.00	$16,231.45	$24,644.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,452.53 / $17,442.70 / $23,714.30	Facility		$12,452.53	$17,442.70	$23,714.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,522.87 / $35,227.46	Facility		$3,775.00	$13,522.87	$35,227.46