Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,714.10 / $17,088.80 / $30,093.40	Facility		$10,714.10	$17,088.80	$30,093.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $12,136.91 / $12,136.91 / $12,136.91	Facility		$12,136.91	$12,136.91	$12,136.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,785.28 / $14,737.60 / $21,589.62	Facility		$6,785.28	$14,737.60	$21,589.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,906.95 / $13,287.47 / $22,259.62	Facility		$9,906.95	$13,287.47	$22,259.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,831.79 / $12,317.25 / $15,962.24	Facility		$8,831.79	$12,317.25	$15,962.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,330.08 / $12,930.39 / $20,214.88	Facility		$6,330.08	$12,930.39	$20,214.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,214.39 / $14,307.66 / $19,452.04	Facility		$10,214.39	$14,307.66	$19,452.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $10,703.80 / $27,883.69	Facility		$3,775.00	$10,703.80	$27,883.69