Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,506.20 / $37,491.90 / $66,023.20	Facility		$23,506.20	$37,491.90	$66,023.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $30,727.56 / $44,866.32	Facility		$6,600.00	$30,727.56	$44,866.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,735.30 / $29,151.94 / $48,836.30	Facility		$21,735.30	$29,151.94	$48,836.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,434.91 / $21,488.86 / $26,783.64	Facility		$14,434.91	$21,488.86	$26,783.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,524.36 / $28,569.59 / $43,480.14	Facility		$13,524.36	$28,569.59	$43,480.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $23,483.50 / $64,164.53	Facility		$3,775.00	$23,483.50	$64,164.53