Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38,191.40 / $60,914.40 / $107,270.00	Facility		$38,191.40	$60,914.40	$107,270.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $45,192.18 / $45,192.18 / $45,365.84	Facility		$45,192.18	$45,192.18	$45,365.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19,583.93 / $49,597.65 / $72,693.32	Facility		$19,583.93	$49,597.65	$72,693.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35,314.11 / $47,364.19 / $79,346.09	Facility		$35,314.11	$47,364.19	$79,346.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25,649.12 / $38,913.60 / $46,014.24	Facility		$25,649.12	$38,913.60	$46,014.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,883.56 / $43,562.05 / $68,030.80	Facility		$12,883.56	$43,562.05	$68,030.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,375.33 / $48,150.74 / $65,463.55	Facility		$34,375.33	$48,150.74	$65,463.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $38,154.49 / $104,250.41	Facility		$3,775.00	$38,154.49	$104,250.41