Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,999.90 / $36,684.40 / $64,601.20	Facility		$22,999.90	$36,684.40	$64,601.20
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $25,763.54 / $25,763.54 / $25,763.54	Facility		$25,763.54	$25,763.54	$25,763.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,320.00 / $31,483.78 / $45,768.40	Facility		$15,320.00	$31,483.78	$45,768.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,267.16 / $28,524.06 / $47,784.47	Facility		$21,267.16	$28,524.06	$47,784.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,008.14 / $24,794.12 / $30,512.41	Facility		$17,008.14	$24,794.12	$30,512.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,972.18 / $27,980.76 / $42,832.83	Facility		$8,972.18	$27,980.76	$42,832.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,643.04 / $30,316.16 / $41,216.47	Facility		$21,643.04	$30,316.16	$41,216.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $22,977.72 / $59,857.58	Facility		$3,775.00	$22,977.72	$59,857.58