Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,948.80 / $19,058.00 / $33,561.19	Facility		$11,948.80	$19,058.00	$33,561.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,098.88 / $15,795.33 / $22,654.85	Facility		$7,098.88	$15,795.33	$22,654.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,048.58 / $14,818.64 / $24,824.69	Facility		$11,048.58	$14,818.64	$24,824.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,389.14 / $11,749.50 / $17,953.91	Facility		$8,389.14	$11,749.50	$17,953.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,012.81 / $14,523.04 / $20,517.71	Facility		$6,012.81	$14,523.04	$20,517.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,702.45 / $15,059.28 / $19,860.38	Facility		$9,702.45	$15,059.28	$19,860.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $11,937.24 / $31,096.84	Facility		$3,775.00	$11,937.24	$31,096.84