Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,518.70 / $19,967.09 / $35,162.10	Facility		$12,518.70	$19,967.09	$35,162.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $16,992.18 / $24,701.76	Facility		$6,746.00	$16,992.18	$24,701.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,575.60 / $15,525.49 / $26,008.82	Facility		$11,575.60	$15,525.49	$26,008.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,718.89 / $13,038.30 / $15,641.59	Facility		$8,718.89	$13,038.30	$15,641.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $15,162.14 / $23,117.40	Facility		$6,409.00	$15,162.14	$23,117.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,681.01 / $16,362.00 / $22,245.03	Facility		$11,681.01	$16,362.00	$22,245.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $12,506.64 / $32,580.14	Facility		$3,775.00	$12,506.64	$32,580.14