Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $47,863.01 / $79,432.82	Facility		$25,703.96	$47,863.01	$79,432.82
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility		$19,498.45	$19,498.45	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $39,810.72 / $63,095.73	Facility		$27,542.29	$39,810.72	$63,095.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $32,359.37 / $41,686.94	Facility		$25,118.86	$32,359.37	$41,686.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $40,738.03 / $54,954.09	Facility		$26,302.68	$40,738.03	$54,954.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $38,018.94 / $51,286.14	Facility		$28,183.83	$38,018.94	$51,286.14
United Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $40,738.03 / $56,234.13	Facility		$14,791.08	$40,738.03	$56,234.13