Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,838.50 / $38,021.90 / $66,956.70	Facility		$23,838.50	$38,021.90	$66,956.70
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $14,992.00 / $14,992.00 / $19,510.66	Facility		$14,992.00	$14,992.00	$19,510.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,999.29 / $31,391.48 / $45,634.21	Facility		$13,999.29	$31,391.48	$45,634.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22,042.60 / $29,564.10 / $49,526.78	Facility		$22,042.60	$29,564.10	$49,526.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18,539.96 / $27,055.05 / $33,260.48	Facility		$18,539.96	$27,055.05	$33,260.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,170.83 / $28,429.73 / $42,707.26	Facility		$9,170.83	$28,429.73	$42,707.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,579.58 / $30,535.54 / $41,549.04	Facility		$21,579.58	$30,535.54	$41,549.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $23,815.53 / $65,071.72	Facility		$3,775.00	$23,815.53	$65,071.72