Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $23,988.33 / $39,810.72	Facility		$15,848.93	$23,988.33	$39,810.72
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $19,054.61 / $31,622.78	Facility		$13,803.84	$19,054.61	$31,622.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $16,595.87 / $21,379.62	Facility		$12,882.50	$16,595.87	$21,379.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $20,417.38 / $30,199.52	Facility		$12,882.50	$20,417.38	$30,199.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $19,498.45 / $26,302.68	Facility		$14,454.40	$19,498.45	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $21,379.62 / $30,199.52	Facility		$7,413.10	$21,379.62	$30,199.52