Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,763.00 / $25,141.50 / $44,274.30	Facility		$15,763.00	$25,141.50	$44,274.30
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $18,247.75 / $18,247.75 / $18,247.75	Facility		$18,247.75	$18,247.75	$18,247.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,730.16 / $21,414.34 / $31,130.32	Facility		$7,730.16	$21,414.34	$31,130.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,575.40 / $19,548.90 / $32,748.98	Facility		$14,575.40	$19,548.90	$32,748.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,991.05 / $17,459.00 / $21,511.82	Facility		$11,991.05	$17,459.00	$21,511.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $18,997.84 / $29,133.63	Facility		$6,600.00	$18,997.84	$29,133.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,720.96 / $20,620.16 / $28,034.23	Facility		$14,720.96	$20,620.16	$28,034.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,343.29 / $22,183.84 / $31,108.74	Facility		$8,343.29	$22,183.84	$31,108.74