Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,986.20 / $20,712.70 / $36,475.00	Facility		$12,986.20	$20,712.70	$36,475.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $16,304.47 / $23,206.82	Facility		$6,746.00	$16,304.47	$23,206.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,007.83 / $16,105.21 / $26,979.99	Facility		$12,007.83	$16,105.21	$26,979.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,341.01 / $13,617.14 / $16,757.68	Facility		$9,341.01	$13,617.14	$16,757.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $13,948.35 / $22,882.80	Facility		$6,409.00	$13,948.35	$22,882.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,872.81 / $16,276.64 / $22,315.55	Facility		$11,872.81	$16,276.64	$22,315.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $12,973.64 / $33,796.69	Facility		$3,775.00	$12,973.64	$33,796.69