Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,880.09 / $33,303.30 / $58,647.10	Facility		$20,880.09	$33,303.30	$58,647.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,813.45 / $29,711.14 / $43,591.45	Facility		$9,813.45	$29,711.14	$43,591.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,307.02 / $25,895.07 / $43,380.29	Facility		$19,307.02	$25,895.07	$43,380.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,351.64 / $22,703.50 / $29,334.67	Facility		$16,351.64	$22,703.50	$29,334.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,264.35 / $27,185.85 / $40,421.19	Facility		$8,264.35	$27,185.85	$40,421.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,424.46 / $29,025.70 / $39,474.94	Facility		$20,424.46	$29,025.70	$39,474.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,859.91 / $54,340.66	Facility		$3,775.00	$20,859.91	$54,340.66