Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $33,884.42	Facility		$13,489.63	$19,952.62	$33,884.42
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $15,848.93 / $26,302.68	Facility		$11,748.98	$15,848.93	$26,302.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,489.63 / $17,378.01	Facility		$10,715.19	$13,489.63	$17,378.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,982.44 / $25,118.86	Facility		$10,715.19	$16,982.44	$25,118.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $22,387.21	Facility		$12,022.64	$16,218.10	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $18,197.01 / $25,118.86	Facility		$6,165.95	$18,197.01	$25,118.86