Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,741.90 / $33,082.80 / $58,258.90	Facility		$20,741.90	$33,082.80	$58,258.90
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $21,054.94 / $22,578.05 / $26,659.96	Facility		$21,054.94	$22,578.05	$26,659.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,426.91 / $27,590.27 / $40,108.33	Facility		$11,426.91	$27,590.27	$40,108.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,179.22 / $25,723.66 / $43,093.13	Facility		$19,179.22	$25,723.66	$43,093.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,433.51 / $20,308.20 / $25,178.19	Facility		$13,433.51	$20,308.20	$25,178.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $24,741.17 / $37,535.81	Facility		$6,746.00	$24,741.17	$37,535.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,966.50 / $26,567.04 / $36,119.33	Facility		$18,966.50	$26,567.04	$36,119.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,721.83 / $53,980.95	Facility		$3,775.00	$20,721.83	$53,980.95