Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $51,286.14 / $85,113.80	Facility		$33,884.42	$51,286.14	$85,113.80
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Facility		$26,915.35	$26,915.35	$26,915.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $40,738.03 / $67,608.30	Facility		$29,512.09	$40,738.03	$67,608.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $34,673.69 / $45,708.82	Facility		$26,915.35	$34,673.69	$45,708.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $42,657.95 / $63,095.73	Facility		$26,915.35	$42,657.95	$63,095.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $40,738.03 / $53,703.18	Facility		$29,512.09	$40,738.03	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $45,708.82 / $64,565.42	Facility		$15,848.93	$45,708.82	$64,565.42