Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73,012.70 / $116,454.00 / $205,075.00	Facility		$73,012.70	$116,454.00	$205,075.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41,934.62 / $99,174.89 / $143,287.03	Facility		$41,934.62	$99,174.89	$143,287.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42,900.30 / $76,851.89 / $81,378.74	Facility		$42,900.30	$76,851.89	$81,378.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40,194.16 / $85,823.80 / $136,588.34	Facility		$40,194.16	$85,823.80	$136,588.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67,979.71 / $99,252.54 / $215,249.00	Facility		$67,979.71	$99,252.54	$215,249.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $72,942.22 / $199,301.75	Facility		$3,775.00	$72,942.22	$199,301.75