Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130,505.00 / $208,152.00 / $366,556.00	Facility		$130,505.00	$208,152.00	$366,556.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78,871.44 / $176,831.95 / $257,062.98	Facility		$78,871.44	$176,831.95	$257,062.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120,672.82 / $161,849.48 / $271,135.70	Facility		$120,672.82	$161,849.48	$271,135.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80,405.52 / $99,999.00 / $99,999.00	Facility		$80,405.52	$99,999.00	$99,999.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55,851.66 / $157,761.54 / $240,575.08	Facility		$55,851.66	$157,761.54	$240,575.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $121,560.38 / $170,273.88 / $231,496.61	Facility		$121,560.38	$170,273.88	$231,496.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $130,378.75 / $356,236.93	Facility		$3,775.00	$130,378.75	$356,236.93