Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27,859.30 / $44,434.90 / $78,249.89	Facility		$27,859.30	$44,434.90	$78,249.89
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $14,642.15 / $14,642.15 / $24,665.31	Facility		$14,642.15	$14,642.15	$24,665.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19,011.06 / $39,048.44 / $56,765.25	Facility		$19,011.06	$39,048.44	$56,765.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,760.40 / $34,550.51 / $57,880.18	Facility		$25,760.40	$34,550.51	$57,880.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21,737.65 / $31,815.50 / $38,997.10	Facility		$21,737.65	$31,815.50	$38,997.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,625.51 / $35,449.19 / $53,124.36	Facility		$10,625.51	$35,449.19	$53,124.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,843.25 / $37,983.73 / $51,683.63	Facility		$26,843.25	$37,983.73	$51,683.63
United Facility/Professional Facility Modifier Low / Median / High Price $14,745.86 / $39,207.48 / $56,407.39	Facility		$14,745.86	$39,207.48	$56,407.39