Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,312.00 / $35,587.10 / $62,668.90	Facility		$22,312.00	$35,587.10	$62,668.90
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $28,325.25 / $28,325.25 / $28,325.25	Facility		$28,325.25	$28,325.25	$28,325.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,744.87 / $30,403.42 / $44,197.85	Facility		$9,744.87	$30,403.42	$44,197.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,631.00 / $27,670.84 / $46,355.13	Facility		$20,631.00	$27,670.84	$46,355.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15,294.15 / $22,864.05 / $27,745.40	Facility		$15,294.15	$22,864.05	$27,745.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,090.75 / $27,129.41 / $41,363.01	Facility		$8,090.75	$27,129.41	$41,363.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,900.36 / $29,275.86 / $39,802.12	Facility		$20,900.36	$29,275.86	$39,802.12
United Facility/Professional Facility Modifier Low / Median / High Price $11,809.67 / $31,400.52 / $44,033.42	Facility		$11,809.67	$31,400.52	$44,033.42