Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,931.70 / $19,030.80 / $33,513.19	Facility		$11,931.70	$19,030.80	$33,513.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $15,962.16 / $23,204.41	Facility		$6,746.00	$15,962.16	$23,204.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,032.79 / $14,797.46 / $24,789.20	Facility		$11,032.79	$14,797.46	$24,789.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,465.69 / $12,681.90 / $15,187.35	Facility		$8,465.69	$12,681.90	$15,187.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $14,427.86 / $21,716.09	Facility		$6,409.00	$14,427.86	$21,716.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,972.94 / $15,526.93 / $21,127.15	Facility		$10,972.94	$15,526.93	$21,127.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $11,920.17 / $31,052.38	Facility		$3,775.00	$11,920.17	$31,052.38