Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,011.50 / $44,677.60 / $78,677.39	Facility		$28,011.50	$44,677.60	$78,677.39
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $43,727.26 / $43,727.26 / $43,727.26	Facility		$43,727.26	$43,727.26	$43,727.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,513.33 / $38,586.93 / $56,094.34	Facility		$15,513.33	$38,586.93	$56,094.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,901.13 / $34,739.26 / $58,196.38	Facility		$25,901.13	$34,739.26	$58,196.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19,791.08 / $30,942.45 / $35,504.98	Facility		$19,791.08	$30,942.45	$35,504.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,041.78 / $34,923.19 / $52,496.48	Facility		$10,041.78	$34,923.19	$52,496.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,525.99 / $37,534.80 / $51,072.78	Facility		$26,525.99	$37,534.80	$51,072.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $27,984.41 / $72,900.14	Facility		$3,775.00	$27,984.41	$72,900.14