Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,181.60 / $17,834.40 / $31,406.40	Facility		$11,181.60	$17,834.40	$31,406.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $10,253.70 / $10,253.70 / $10,253.70	Facility		$10,253.70	$10,253.70	$10,253.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,466.81 / $15,055.95 / $22,066.91	Facility		$6,466.81	$15,055.95	$22,066.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,339.20 / $13,867.20 / $23,230.80	Facility		$10,339.20	$13,867.20	$23,230.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,048.65 / $11,903.10 / $14,439.19	Facility		$8,048.65	$11,903.10	$14,439.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $13,288.07 / $20,651.54	Facility		$6,409.00	$13,288.07	$20,651.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,435.04 / $14,616.72 / $19,872.23	Facility		$10,435.04	$14,616.72	$19,872.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $11,170.80 / $29,100.24	Facility		$3,775.00	$11,170.80	$29,100.24