Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,343.90 / $27,663.10 / $48,714.80	Facility		$17,343.90	$27,663.10	$48,714.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,859.61 / $25,964.47 / $37,744.90	Facility		$10,859.61	$25,964.47	$37,744.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,037.25 / $21,509.57 / $36,033.55	Facility		$16,037.25	$21,509.57	$36,033.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,752.23 / $21,505.50 / $26,465.33	Facility		$14,752.23	$21,505.50	$26,465.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,456.33 / $23,073.88 / $35,323.96	Facility		$7,456.33	$23,073.88	$35,323.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,848.87 / $25,001.54 / $33,990.96	Facility		$17,848.87	$25,001.54	$33,990.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,327.15 / $47,343.39	Facility		$3,775.00	$17,327.15	$47,343.39