Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43,047.60 / $68,660.00 / $120,910.00	Facility		$43,047.60	$68,660.00	$120,910.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20,269.34 / $52,113.55 / $75,758.16	Facility		$20,269.34	$52,113.55	$75,758.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39,804.48 / $53,386.79 / $89,435.35	Facility		$39,804.48	$53,386.79	$89,435.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27,799.63 / $40,525.73 / $49,872.23	Facility		$27,799.63	$40,525.73	$49,872.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,431.14 / $47,193.36 / $70,899.07	Facility		$15,431.14	$47,193.36	$70,899.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35,824.65 / $50,692.59 / $68,976.30	Facility		$35,824.65	$50,692.59	$68,976.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $43,006.03 / $117,506.38	Facility		$3,775.00	$43,006.03	$117,506.38