Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32,474.80 / $51,796.50 / $91,213.80	Facility		$32,474.80	$51,796.50	$91,213.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,794.87 / $42,130.12 / $62,874.51	Facility		$16,794.87	$42,130.12	$62,874.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,028.20 / $40,274.58 / $67,469.34	Facility		$30,028.20	$40,274.58	$67,469.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25,041.49 / $36,539.80 / $45,683.32	Facility		$25,041.49	$36,539.80	$45,683.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,767.35 / $39,211.74 / $57,316.88	Facility		$11,767.35	$39,211.74	$57,316.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,961.69 / $41,841.12 / $56,938.53	Facility		$28,961.69	$41,841.12	$56,938.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $32,443.42 / $88,645.91	Facility		$3,775.00	$32,443.42	$88,645.91