Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,696.70 / $31,415.80 / $55,323.30	Facility		$19,696.70	$31,415.80	$55,323.30
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $20,328.81 / $20,328.81 / $27,561.28	Facility		$20,328.81	$20,328.81	$27,561.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,387.42 / $26,761.63 / $38,903.75	Facility		$9,387.42	$26,761.63	$38,903.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,212.79 / $24,427.46 / $40,921.69	Facility		$18,212.79	$24,427.46	$40,921.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,150.73 / $20,628.64 / $25,386.25	Facility		$14,150.73	$20,628.64	$25,386.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,934.34 / $23,936.40 / $36,408.48	Facility		$6,934.34	$23,936.40	$36,408.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,396.87 / $25,769.14 / $35,034.55	Facility		$18,396.87	$25,769.14	$35,034.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $19,677.66 / $51,260.88	Facility		$3,775.00	$19,677.66	$51,260.88