Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,065.10 / $17,648.59 / $31,079.20	Facility		$11,065.10	$17,648.59	$31,079.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,511.00 / $14,044.77 / $20,646.87	Facility		$6,511.00	$14,044.77	$20,646.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,231.50 / $13,722.75 / $22,988.81	Facility		$10,231.50	$13,722.75	$22,988.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,198.53 / $10,551.90 / $12,914.08	Facility		$7,198.53	$10,551.90	$12,914.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,983.32 / $12,876.44 / $19,107.53	Facility		$5,983.32	$12,876.44	$19,107.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,654.86 / $13,748.91 / $18,698.52	Facility		$9,654.86	$13,748.91	$18,698.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,713.18 / $7,054.56 / $15,973.54	Facility		$4,713.18	$7,054.56	$15,973.54