Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62,438.40 / $99,587.80 / $175,374.00	Facility		$62,438.40	$99,587.80	$175,374.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $72,772.71 / $97,966.74	Facility		$2,616.00	$72,772.71	$97,966.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57,734.38 / $77,434.83 / $129,721.43	Facility		$57,734.38	$77,434.83	$129,721.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52,423.48 / $69,245.94 / $99,999.00	Facility		$52,423.48	$69,245.94	$99,999.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $72,772.71 / $94,960.91	Facility		$5,350.00	$72,772.71	$94,960.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $62,378.06 / $170,437.04	Facility		$3,775.00	$62,378.06	$170,437.04