Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32,383.20 / $51,650.40 / $90,956.40	Facility		$32,383.20	$51,650.40	$90,956.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $26,273.97 / $26,273.97 / $26,273.97	Facility		$26,273.97	$26,273.97	$26,273.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,945.78 / $43,917.44 / $63,844.00	Facility		$15,945.78	$43,917.44	$63,844.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29,943.47 / $40,160.94 / $67,278.98	Facility		$29,943.47	$40,160.94	$67,278.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22,433.10 / $34,397.55 / $40,244.73	Facility		$22,433.10	$34,397.55	$40,244.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,034.48 / $39,883.12 / $59,748.49	Facility		$11,034.48	$39,883.12	$59,748.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30,190.36 / $42,719.96 / $58,128.12	Facility		$30,190.36	$42,719.96	$58,128.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $32,351.88 / $84,277.53	Facility		$3,775.00	$32,351.88	$84,277.53