Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57,877.20 / $92,312.80 / $162,563.00	Facility		$57,877.20	$92,312.80	$162,563.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31,578.15 / $83,529.70 / $122,426.19	Facility		$31,578.15	$83,529.70	$122,426.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53,516.85 / $71,778.17 / $120,245.20	Facility		$53,516.85	$71,778.17	$120,245.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40,975.35 / $60,873.45 / $73,509.33	Facility		$40,975.35	$60,873.45	$73,509.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,524.87 / $73,515.62 / $114,573.83	Facility		$19,524.87	$73,515.62	$114,573.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57,893.10 / $81,092.89 / $110,250.21	Facility		$57,893.10	$81,092.89	$110,250.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $57,821.30 / $157,986.51	Facility		$3,775.00	$57,821.30	$157,986.51