Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32,748.10 / $52,232.50 / $91,981.50	Facility		$32,748.10	$52,232.50	$91,981.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17,901.57 / $44,164.98 / $64,203.23	Facility		$17,901.57	$44,164.98	$64,203.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,280.93 / $40,613.56 / $68,037.21	Facility		$30,280.93	$40,613.56	$68,037.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26,250.99 / $37,806.44 / $48,086.08	Facility		$26,250.99	$37,806.44	$48,086.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,697.99 / $39,351.90 / $60,085.26	Facility		$13,697.99	$39,351.90	$60,085.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30,360.53 / $42,527.06 / $57,817.85	Facility		$30,360.53	$42,527.06	$57,817.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $32,716.48 / $89,392.01	Facility		$3,775.00	$32,716.48	$89,392.01