Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,918.00 / $22,198.90 / $39,092.19	Facility		$13,918.00	$22,198.90	$39,092.19
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $6,142.87 / $6,142.87 / $11,254.45	Facility		$6,142.87	$6,142.87	$11,254.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $18,867.61 / $27,428.10	Facility		$6,746.00	$18,867.61	$27,428.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,869.43 / $17,260.81 / $28,915.89	Facility		$12,869.43	$17,260.81	$28,915.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,753.46 / $14,587.65 / $17,497.62	Facility		$9,753.46	$14,587.65	$17,497.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $16,987.46 / $25,668.88	Facility		$6,409.00	$16,987.46	$25,668.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,970.25 / $18,321.93 / $24,885.47	Facility		$12,970.25	$18,321.93	$24,885.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,904.54 / $36,221.72	Facility		$3,775.00	$13,904.54	$36,221.72