Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,777.20 / $28,354.20 / $49,931.80	Facility		$17,777.20	$28,354.20	$49,931.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $22,601.50 / $33,327.32	Facility		$6,600.00	$22,601.50	$33,327.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,437.89 / $22,046.92 / $36,933.75	Facility		$16,437.89	$22,046.92	$36,933.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,617.53 / $15,806.02 / $19,891.25	Facility		$10,617.53	$15,806.02	$19,891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,947.77 / $21,014.21 / $31,981.59	Facility		$9,947.77	$21,014.21	$31,981.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,760.02 / $48,526.12	Facility		$3,775.00	$17,760.02	$48,526.12