Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $21,877.62 / $36,307.81	Facility		$14,454.40	$21,877.62	$36,307.81
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $15,488.17	Facility		$11,481.54	$11,481.54	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $16,982.44 / $28,840.32	Facility		$12,589.25	$16,982.44	$28,840.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $18,620.87	Facility		$11,748.98	$14,791.08	$18,620.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $19,054.61 / $27,542.29	Facility		$11,748.98	$19,054.61	$27,542.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $17,782.79 / $24,547.09	Facility		$13,182.57	$17,782.79	$24,547.09
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $19,498.45 / $26,915.35	Facility		$6,760.83	$19,498.45	$26,915.35