Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,569.09 / $28,022.30 / $49,347.30	Facility		$17,569.09	$28,022.30	$49,347.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,623.00 / $23,664.59 / $33,553.79	Facility		$11,623.00	$23,664.59	$33,553.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,245.47 / $21,788.84 / $36,501.39	Facility		$16,245.47	$21,788.84	$36,501.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,460.80 / $18,362.84 / $22,949.83	Facility		$12,460.80	$18,362.84	$22,949.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,616.76 / $20,310.07 / $33,319.44	Facility		$6,616.76	$20,310.07	$33,319.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,287.89 / $23,700.28 / $32,493.47	Facility		$17,287.89	$23,700.28	$32,493.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,552.12 / $45,723.75	Facility		$3,775.00	$17,552.12	$45,723.75