Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,230.30 / $24,291.90 / $42,778.10	Facility		$15,230.30	$24,291.90	$42,778.10
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $17,677.28 / $17,677.28 / $17,677.28	Facility		$17,677.28	$17,677.28	$17,677.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,042.36 / $20,638.16 / $30,001.96	Facility		$7,042.36	$20,638.16	$30,001.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,082.85 / $18,888.28 / $31,642.29	Facility		$14,082.85	$18,888.28	$31,642.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,118.02 / $16,392.75 / $19,945.59	Facility		$11,118.02	$16,392.75	$19,945.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $18,366.33 / $28,077.65	Facility		$6,600.00	$18,366.33	$28,077.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,187.38 / $19,872.75 / $27,018.10	Facility		$14,187.38	$19,872.75	$27,018.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $15,215.56 / $39,636.94	Facility		$3,775.00	$15,215.56	$39,636.94