Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27,379.40 / $43,669.50 / $76,902.10	Facility		$27,379.40	$43,669.50	$76,902.10
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $17,569.00 / $22,073.31 / $30,136.74	Facility		$17,569.00	$22,073.31	$30,136.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $37,024.14 / $53,636.20	Facility		$6,600.00	$37,024.14	$53,636.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,316.68 / $33,955.37 / $56,883.20	Facility		$25,316.68	$33,955.37	$56,883.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,392.87 / $25,892.28 / $32,022.84	Facility		$17,392.87	$25,892.28	$32,022.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,295.73 / $34,173.90 / $52,389.93	Facility		$16,295.73	$34,173.90	$52,389.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $27,352.95 / $74,737.10	Facility		$3,775.00	$27,352.95	$74,737.10