Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27,876.30 / $44,462.10 / $78,297.89	Facility		$27,876.30	$44,462.10	$78,297.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,483.64 / $35,912.24 / $52,206.10	Facility		$11,483.64	$35,912.24	$52,206.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,776.20 / $34,571.69 / $57,915.68	Facility		$25,776.20	$34,571.69	$57,915.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,576.41 / $30,155.40 / $32,772.61	Facility		$17,576.41	$30,155.40	$32,772.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,255.31 / $32,108.94 / $48,857.63	Facility		$9,255.31	$32,108.94	$48,857.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,687.31 / $34,580.37 / $47,013.91	Facility		$24,687.31	$34,580.37	$47,013.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $27,849.43 / $76,093.64	Facility		$3,775.00	$27,849.43	$76,093.64