Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,566.00 / $28,017.30 / $49,338.60	Facility		$17,566.00	$28,017.30	$49,338.60
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $20,848.21 / $20,848.21 / $20,848.21	Facility		$20,848.21	$20,848.21	$20,848.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,809.64 / $23,090.48 / $33,566.94	Facility		$9,809.64	$23,090.48	$33,566.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,242.60 / $21,784.99 / $36,494.94	Facility		$16,242.60	$21,784.99	$36,494.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,009.59 / $18,965.12 / $23,339.07	Facility		$13,009.59	$18,965.12	$23,339.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $20,884.28 / $31,413.98	Facility		$6,746.00	$20,884.28	$31,413.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,873.19 / $22,460.88 / $30,562.04	Facility		$15,873.19	$22,460.88	$30,562.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,549.02 / $45,715.67	Facility		$3,775.00	$17,549.02	$45,715.67