Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,763.20 / $28,331.90 / $49,892.60	Facility		$17,763.20	$28,331.90	$49,892.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,399.51 / $24,284.78 / $35,074.58	Facility		$9,399.51	$24,284.78	$35,074.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,424.97 / $22,029.59 / $36,904.71	Facility		$16,424.97	$22,029.59	$36,904.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,408.30 / $19,340.90 / $24,054.35	Facility		$13,408.30	$19,340.90	$24,054.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,441.18 / $21,007.92 / $33,434.05	Facility		$7,441.18	$21,007.92	$33,434.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,247.52 / $23,841.36 / $32,417.58	Facility		$17,247.52	$23,841.36	$32,417.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,746.06 / $46,228.96	Facility		$3,775.00	$17,746.06	$46,228.96