Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,871.40 / $22,124.60 / $38,961.40	Facility		$13,871.40	$22,124.60	$38,961.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $10,599.23 / $10,599.23 / $10,599.23	Facility		$10,599.23	$10,599.23	$10,599.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $18,276.87 / $26,787.69	Facility		$6,746.00	$18,276.87	$26,787.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,826.35 / $17,203.03 / $28,819.10	Facility		$12,826.35	$17,203.03	$28,819.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,815.34 / $14,643.80 / $17,608.61	Facility		$9,815.34	$14,643.80	$17,608.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $16,091.73 / $25,069.54	Facility		$6,409.00	$16,091.73	$25,069.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,667.41 / $17,743.68 / $24,123.50	Facility		$12,667.41	$17,743.68	$24,123.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,858.00 / $36,100.46	Facility		$3,775.00	$13,858.00	$36,100.46