Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,527.59 / $32,741.00 / $57,656.90	Facility		$20,527.59	$32,741.00	$57,656.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,522.27 / $28,684.82 / $41,879.26	Facility		$9,522.27	$28,684.82	$41,879.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,981.05 / $25,457.87 / $42,647.88	Facility		$18,981.05	$25,457.87	$42,647.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,566.62 / $22,580.25 / $26,782.46	Facility		$14,566.62	$22,580.25	$26,782.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,975.71 / $25,083.95 / $39,921.03	Facility		$6,975.71	$25,083.95	$39,921.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,174.98 / $28,259.80 / $38,420.74	Facility		$20,174.98	$28,259.80	$38,420.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,507.73 / $53,423.19	Facility		$3,775.00	$20,507.73	$53,423.19