Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,912.30 / $28,569.70 / $50,311.30	Facility		$17,912.30	$28,569.70	$50,311.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,074.69 / $24,602.28 / $36,004.47	Facility		$10,074.69	$24,602.28	$36,004.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,562.82 / $22,214.48 / $37,214.44	Facility		$16,562.82	$22,214.48	$37,214.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,908.77 / $19,932.00 / $23,519.28	Facility		$12,908.77	$19,932.00	$23,519.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,822.49 / $21,566.79 / $34,228.01	Facility		$6,822.49	$21,566.79	$34,228.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,295.11 / $24,225.86 / $32,936.37	Facility		$17,295.11	$24,225.86	$32,936.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,895.00 / $46,616.97	Facility		$3,775.00	$17,895.00	$46,616.97