Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26,135.40 / $41,685.40 / $73,408.10	Facility		$26,135.40	$41,685.40	$73,408.10
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $31,984.03 / $31,984.03 / $31,984.03	Facility		$31,984.03	$31,984.03	$31,984.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,976.97 / $34,789.30 / $50,989.31	Facility		$13,976.97	$34,789.30	$50,989.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,166.44 / $32,412.65 / $54,298.77	Facility		$24,166.44	$32,412.65	$54,298.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19,198.75 / $28,223.25 / $34,442.33	Facility		$19,198.75	$28,223.25	$34,442.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,542.51 / $30,756.48 / $47,718.88	Facility		$9,542.51	$30,756.48	$47,718.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,111.91 / $33,774.40 / $45,918.14	Facility		$24,111.91	$33,774.40	$45,918.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $26,110.19 / $71,341.50	Facility		$3,775.00	$26,110.19	$71,341.50