Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,571.50 / $20,051.30 / $35,310.40	Facility		$12,571.50	$20,051.30	$35,310.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $5,795.60 / $5,795.60 / $5,795.60	Facility		$5,795.60	$5,795.60	$5,795.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $16,902.75 / $24,607.22	Facility		$6,746.00	$16,902.75	$24,607.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,624.42 / $15,590.97 / $26,118.52	Facility		$11,624.42	$15,590.97	$26,118.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,103.85 / $13,271.41 / $16,332.21	Facility		$9,103.85	$13,271.41	$16,332.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $14,951.64 / $23,028.93	Facility		$6,409.00	$14,951.64	$23,028.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,636.30 / $16,299.38 / $22,159.89	Facility		$11,636.30	$16,299.38	$22,159.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $12,559.39 / $32,717.56	Facility		$3,775.00	$12,559.39	$32,717.56