Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,135.90 / $28,926.40 / $50,939.40	Facility		$18,135.90	$28,926.40	$50,939.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,102.41 / $23,220.76 / $33,820.06	Facility		$7,102.41	$23,220.76	$33,820.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,769.61 / $22,491.83 / $37,679.07	Facility		$16,769.61	$22,491.83	$37,679.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,886.79 / $18,222.59 / $21,324.78	Facility		$11,886.79	$18,222.59	$21,324.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $20,538.47 / $31,650.86	Facility		$6,409.00	$20,538.47	$31,650.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,992.89 / $22,401.80 / $30,456.47	Facility		$15,992.89	$22,401.80	$30,456.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $18,118.41 / $49,505.38	Facility		$3,775.00	$18,118.41	$49,505.38