Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42,254.00 / $67,394.20 / $118,681.00	Facility		$42,254.00	$67,394.20	$118,681.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $36,709.12 / $36,709.12 / $36,709.12	Facility		$36,709.12	$36,709.12	$36,709.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $58,370.78 / $84,398.96	Facility		$6,600.00	$58,370.78	$84,398.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39,070.69 / $52,402.61 / $87,786.61	Facility		$39,070.69	$52,402.61	$87,786.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27,420.90 / $40,820.74 / $50,388.36	Facility		$27,420.90	$40,820.74	$50,388.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,691.19 / $53,774.16 / $82,595.88	Facility		$25,691.19	$53,774.16	$82,595.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $42,213.21 / $115,340.15	Facility		$3,775.00	$42,213.21	$115,340.15