Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,525.10 / $21,572.20 / $37,988.69	Facility		$13,525.10	$21,572.20	$37,988.69
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $11,194.70 / $11,194.70 / $11,194.70	Facility		$11,194.70	$11,194.70	$11,194.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $18,549.65 / $26,979.81	Facility		$6,746.00	$18,549.65	$26,979.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,506.12 / $16,773.53 / $28,099.59	Facility		$12,506.12	$16,773.53	$28,099.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,742.01 / $14,201.71 / $17,477.07	Facility		$9,742.01	$14,201.71	$17,477.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $16,410.29 / $25,249.34	Facility		$6,409.00	$16,410.29	$25,249.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,758.26 / $17,870.93 / $24,296.52	Facility		$12,758.26	$17,870.93	$24,296.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,512.01 / $35,199.17	Facility		$3,775.00	$13,512.01	$35,199.17