Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,402.80 / $26,162.10 / $46,071.40	Facility		$16,402.80	$26,162.10	$46,071.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $13,126.94 / $13,126.94 / $13,126.94	Facility		$13,126.94	$13,126.94	$13,126.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,199.81 / $21,628.32 / $31,714.47	Facility		$8,199.81	$21,628.32	$31,714.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,167.03 / $20,342.41 / $34,078.29	Facility		$15,167.03	$20,342.41	$34,078.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,702.33 / $17,059.41 / $20,993.86	Facility		$11,702.33	$17,059.41	$20,993.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,452.26 / $19,778.75 / $29,424.74	Facility		$6,452.26	$19,778.75	$29,424.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,868.05 / $21,117.85 / $28,720.28	Facility		$14,868.05	$21,117.85	$28,720.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $16,386.93 / $42,688.44	Facility		$3,775.00	$16,386.93	$42,688.44