Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74,989.70 / $119,607.00 / $210,628.00	Facility		$74,989.70	$119,607.00	$210,628.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $46,226.24 / $46,226.24 / $46,226.24	Facility		$46,226.24	$46,226.24	$46,226.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34,529.04 / $102,349.63 / $150,009.82	Facility		$34,529.04	$102,349.63	$150,009.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69,340.13 / $93,000.76 / $155,798.01	Facility		$69,340.13	$93,000.76	$155,798.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56,361.16 / $82,162.14 / $97,042.23	Facility		$56,361.16	$82,162.14	$97,042.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,804.64 / $90,481.05 / $140,388.26	Facility		$28,804.64	$90,481.05	$140,388.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70,936.89 / $99,363.80 / $135,090.50	Facility		$70,936.89	$99,363.80	$135,090.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $37,180.99 / $127,414.91	Facility		$3,775.00	$37,180.99	$127,414.91