Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39,385.60 / $62,819.20 / $110,625.00	Facility		$39,385.60	$62,819.20	$110,625.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $40,615.53 / $40,615.53 / $40,615.53	Facility		$40,615.53	$40,615.53	$40,615.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19,734.59 / $50,382.86 / $73,242.24	Facility		$19,734.59	$50,382.86	$73,242.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36,418.40 / $48,845.29 / $81,827.27	Facility		$36,418.40	$48,845.29	$81,827.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25,248.12 / $38,375.69 / $45,978.14	Facility		$25,248.12	$38,375.69	$45,978.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,634.53 / $44,728.23 / $68,544.52	Facility		$11,634.53	$44,728.23	$68,544.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,634.92 / $48,514.34 / $65,957.89	Facility		$34,634.92	$48,514.34	$65,957.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $39,347.58 / $107,510.35	Facility		$3,775.00	$39,347.58	$107,510.35