Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,533.10 / $24,775.00 / $43,628.70	Facility		$15,533.10	$24,775.00	$43,628.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,385.89 / $20,732.56 / $30,169.80	Facility		$7,385.89	$20,732.56	$30,169.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,362.87 / $19,263.84 / $32,271.45	Facility		$14,362.87	$19,263.84	$32,271.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,323.11 / $17,973.87 / $22,360.70	Facility		$12,323.11	$17,973.87	$22,360.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $18,839.96 / $28,206.08	Facility		$6,600.00	$18,839.96	$28,206.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,252.27 / $20,167.25 / $27,441.14	Facility		$14,252.27	$20,167.25	$27,441.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $15,518.10 / $40,425.08	Facility		$3,775.00	$15,518.10	$40,425.08