Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,411.30 / $35,745.60 / $62,948.00	Facility		$22,411.30	$35,745.60	$62,948.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,283.94 / $28,409.81 / $42,182.68	Facility		$10,283.94	$28,409.81	$42,182.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,722.91 / $27,794.11 / $46,561.62	Facility		$20,722.91	$27,794.11	$46,561.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,023.55 / $22,717.20 / $25,781.22	Facility		$14,023.55	$22,717.20	$25,781.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $26,536.72 / $38,434.82	Facility		$6,600.00	$26,536.72	$38,434.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,420.75 / $28,392.54 / $38,637.33	Facility		$19,420.75	$28,392.54	$38,637.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $22,389.70 / $61,175.90	Facility		$3,775.00	$22,389.70	$61,175.90