Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46,850.90 / $74,726.10 / $131,593.00	Facility		$46,850.90	$74,726.10	$131,593.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $44,635.18 / $44,635.18 / $44,635.18	Facility		$44,635.18	$44,635.18	$44,635.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,710.49 / $53,656.65 / $78,524.39	Facility		$15,710.49	$53,656.65	$78,524.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43,321.25 / $58,103.57 / $97,337.05	Facility		$43,321.25	$58,103.57	$97,337.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27,809.94 / $42,631.05 / $49,890.72	Facility		$27,809.94	$42,631.05	$49,890.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,772.29 / $47,032.64 / $74,517.94	Facility		$12,772.29	$47,032.64	$74,517.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,653.23 / $52,742.20 / $71,705.89	Facility		$37,653.23	$52,742.20	$71,705.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $46,805.65 / $127,888.19	Facility		$3,775.00	$46,805.65	$127,888.19