Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,210.90 / $33,830.90 / $59,576.20	Facility		$21,210.90	$33,830.90	$59,576.20
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $23,452.17 / $23,452.17 / $23,452.17	Facility		$23,452.17	$23,452.17	$23,452.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,017.03 / $27,548.31 / $40,047.35	Facility		$10,017.03	$27,548.31	$40,047.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,612.89 / $26,305.31 / $44,067.54	Facility		$19,612.89	$26,305.31	$44,067.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,955.02 / $21,801.12 / $26,829.14	Facility		$14,955.02	$21,801.12	$26,829.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,130.09 / $24,545.57 / $37,478.73	Facility		$7,130.09	$24,545.57	$37,478.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,937.66 / $26,526.64 / $36,064.41	Facility		$18,937.66	$26,526.64	$36,064.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $21,190.39 / $57,898.99	Facility		$3,775.00	$21,190.39	$57,898.99