Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80,839.89 / $128,938.00 / $227,060.00	Facility		$80,839.89	$128,938.00	$227,060.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41,856.51 / $107,917.59 / $158,170.54	Facility		$41,856.51	$107,917.59	$158,170.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74,749.53 / $100,256.00 / $167,952.23	Facility		$74,749.53	$100,256.00	$167,952.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57,769.24 / $84,214.82 / $99,027.34	Facility		$57,769.24	$84,214.82	$99,027.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,729.46 / $94,901.71 / $148,025.56	Facility		$30,729.46	$94,901.71	$148,025.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74,795.96 / $104,769.32 / $142,439.59	Facility		$74,795.96	$104,769.32	$142,439.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $40,081.58 / $137,354.89	Facility		$3,775.00	$40,081.58	$137,354.89