Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,647.24 / $15,387.10 / $27,096.70	Facility		$9,647.24	$15,387.10	$27,096.70
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $10,261.20 / $10,261.20 / $10,261.20	Facility		$10,261.20	$10,261.20	$10,261.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,933.17 / $13,058.81 / $18,983.75	Facility		$5,933.17	$13,058.81	$18,983.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,920.43 / $11,964.31 / $20,043.02	Facility		$8,920.43	$11,964.31	$20,043.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,169.88 / $10,363.20 / $12,862.69	Facility		$7,169.88	$10,363.20	$12,862.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,563.28 / $11,672.93 / $17,766.15	Facility		$5,563.28	$11,672.93	$17,766.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,977.07 / $12,574.50 / $17,095.72	Facility		$8,977.07	$12,574.50	$17,095.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,727.20 / $9,637.92 / $25,107.04	Facility		$3,727.20	$9,637.92	$25,107.04