Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,901.80 / $33,337.90 / $58,708.20	Facility		$20,901.80	$33,337.90	$58,708.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,214.19 / $29,006.28 / $42,166.82	Facility		$10,214.19	$29,006.28	$42,166.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,327.12 / $25,922.03 / $43,425.46	Facility		$19,327.12	$25,922.03	$43,425.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,474.96 / $21,991.20 / $26,470.41	Facility		$14,474.96	$21,991.20	$26,470.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $26,026.58 / $39,462.26	Facility		$6,746.00	$26,026.58	$39,462.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,939.91 / $27,930.54 / $37,973.08	Facility		$19,939.91	$27,930.54	$37,973.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,881.64 / $57,055.39	Facility		$3,775.00	$20,881.64	$57,055.39