Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,494.40 / $45,448.00 / $80,034.00	Facility		$28,494.40	$45,448.00	$80,034.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $35,305.00 / $35,305.00 / $35,305.00	Facility		$35,305.00	$35,305.00	$35,305.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,413.39 / $37,380.69 / $54,340.82	Facility		$13,413.39	$37,380.69	$54,340.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,347.73 / $35,338.25 / $59,199.82	Facility		$26,347.73	$35,338.25	$59,199.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18,772.54 / $28,348.65 / $34,112.69	Facility		$18,772.54	$28,348.65	$34,112.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,722.25 / $33,830.46 / $50,855.43	Facility		$8,722.25	$33,830.46	$50,855.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,696.78 / $36,361.44 / $49,476.24	Facility		$25,696.78	$36,361.44	$49,476.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $28,466.92 / $77,780.84	Facility		$3,775.00	$28,466.92	$77,780.84