Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33,078.90 / $52,760.10 / $92,910.60	Facility		$33,078.90	$52,760.10	$92,910.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18,459.18 / $44,686.60 / $65,397.08	Facility		$18,459.18	$44,686.60	$65,397.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,586.80 / $41,023.80 / $68,724.45	Facility		$30,586.80	$41,023.80	$68,724.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24,923.88 / $36,700.94 / $44,713.17	Facility		$24,923.88	$36,700.94	$44,713.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,882.94 / $39,171.19 / $62,034.54	Facility		$14,882.94	$39,171.19	$62,034.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31,345.49 / $43,906.72 / $59,693.58	Facility		$31,345.49	$43,906.72	$59,693.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $33,046.94 / $90,294.96	Facility		$3,775.00	$33,046.94	$90,294.96