Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30,566.10 / $48,752.30 / $85,852.90	Facility		$30,566.10	$48,752.30	$85,852.90
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $37,213.28 / $37,213.28 / $37,904.62	Facility		$37,213.28	$37,213.28	$37,904.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,306.87 / $40,193.85 / $58,430.34	Facility		$15,306.87	$40,193.85	$58,430.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,263.35 / $37,907.53 / $63,503.97	Facility		$28,263.35	$37,907.53	$63,503.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,627.45 / $31,033.20 / $37,005.42	Facility		$20,627.45	$31,033.20	$37,005.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,991.09 / $36,284.49 / $54,682.64	Facility		$9,991.09	$36,284.49	$54,682.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,630.64 / $39,097.90 / $53,154.30	Facility		$27,630.64	$39,097.90	$53,154.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $30,536.62 / $79,548.74	Facility		$3,775.00	$30,536.62	$79,548.74