Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38,533.43 / $87,353.90 / $153,830.00	Facility		$38,533.43	$87,353.90	$153,830.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28,430.10 / $72,539.44 / $106,318.20	Facility		$28,430.10	$72,539.44	$106,318.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50,641.98 / $67,922.32 / $113,785.75	Facility		$50,641.98	$67,922.32	$113,785.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39,842.24 / $59,028.75 / $71,476.53	Facility		$39,842.24	$59,028.75	$71,476.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,888.97 / $63,802.46 / $99,499.00	Facility		$19,888.97	$63,802.46	$99,499.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50,275.93 / $70,423.25 / $95,744.26	Facility		$50,275.93	$70,423.25	$95,744.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $27,154.82 / $93,056.39	Facility		$3,775.00	$27,154.82	$93,056.39