Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50,154.10 / $79,994.70 / $140,871.00	Facility		$50,154.10	$79,994.70	$140,871.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27,459.18 / $61,601.62 / $99,277.39	Facility		$27,459.18	$61,601.62	$99,277.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37,461.86 / $54,146.70 / $68,212.56	Facility		$37,461.86	$54,146.70	$68,212.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,368.46 / $56,881.70 / $91,622.18	Facility		$18,368.46	$56,881.70	$91,622.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43,326.45 / $62,461.48 / $212,099.86	Facility		$43,326.45	$62,461.48	$212,099.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $50,105.69 / $136,904.96	Facility		$3,775.00	$50,105.69	$136,904.96