Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,085.20 / $35,225.40 / $62,032.00	Facility		$22,085.20	$35,225.40	$62,032.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $19,230.00 / $19,230.00 / $19,230.00	Facility		$19,230.00	$19,230.00	$19,230.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,351.58 / $26,595.14 / $38,598.21	Facility		$11,351.58	$26,595.14	$38,598.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,421.36 / $27,389.65 / $45,884.06	Facility		$20,421.36	$27,389.65	$45,884.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,332.89 / $21,281.70 / $25,713.05	Facility		$14,332.89	$21,281.70	$25,713.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $23,120.45 / $36,796.12	Facility		$6,600.00	$23,120.45	$36,796.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,794.89 / $26,137.57 / $35,445.82	Facility		$18,794.89	$26,137.57	$35,445.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $22,063.88 / $57,477.02	Facility		$3,775.00	$22,063.88	$57,477.02