Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25,021.00 / $51,745.60 / $87,717.30	Facility		$25,021.00	$51,745.60	$87,717.30
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $40,398.40 / $40,398.40 / $40,398.40	Facility		$40,398.40	$40,398.40	$40,398.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20,406.99 / $45,094.40 / $64,413.65	Facility		$20,406.99	$45,094.40	$64,413.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,410.17 / $40,786.90 / $68,327.59	Facility		$30,410.17	$40,786.90	$68,327.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,147.64 / $37,219.80 / $48,166.80	Facility		$20,147.64	$37,219.80	$48,166.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,876.73 / $39,823.90 / $60,687.73	Facility		$18,876.73	$39,823.90	$60,687.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31,925.90 / $43,101.55 / $58,647.35	Facility		$31,925.90	$43,101.55	$58,647.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,000.00 / $55,879.75	Facility		$3,775.00	$17,000.00	$55,879.75