Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,091.60 / $36,830.50 / $64,858.60	Facility		$23,091.60	$36,830.50	$64,858.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,042.32 / $32,636.68 / $47,476.17	Facility		$13,042.32	$32,636.68	$47,476.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,351.88 / $28,637.69 / $47,974.83	Facility		$21,351.88	$28,637.69	$47,974.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,537.25 / $24,060.30 / $29,803.38	Facility		$16,537.25	$24,060.30	$29,803.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,596.42 / $28,869.36 / $44,431.07	Facility		$8,596.42	$28,869.36	$44,431.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,450.61 / $31,447.36 / $42,754.40	Facility		$22,450.61	$31,447.36	$42,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $23,069.25 / $60,096.04	Facility		$3,775.00	$23,069.25	$60,096.04