Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31,160.90 / $49,701.00 / $87,523.50	Facility		$31,160.90	$49,701.00	$87,523.50
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $24,311.97 / $24,311.97 / $27,699.20	Facility		$24,311.97	$24,311.97	$27,699.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,700.08 / $39,212.08 / $57,003.12	Facility		$12,700.08	$39,212.08	$57,003.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,813.34 / $38,645.19 / $64,739.72	Facility		$28,813.34	$38,645.19	$64,739.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,122.18 / $30,553.05 / $36,098.99	Facility		$20,122.18	$30,553.05	$36,098.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,781.09 / $35,124.98 / $53,346.97	Facility		$8,781.09	$35,124.98	$53,346.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,955.73 / $37,757.83 / $51,333.84	Facility		$26,955.73	$37,757.83	$51,333.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $31,130.85 / $85,059.55	Facility		$3,775.00	$31,130.85	$85,059.55