Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17,665.40 / $28,175.90 / $49,617.80	Facility		$17,665.40	$28,175.90	$49,617.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,815.72 / $21,582.29 / $31,590.81	Facility		$7,815.72	$21,582.29	$31,590.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,334.50 / $21,908.25 / $36,701.44	Facility		$16,334.50	$21,908.25	$36,701.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,148.02 / $18,101.04 / $21,793.41	Facility		$12,148.02	$18,101.04	$21,793.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $19,091.00 / $29,564.59	Facility		$6,409.00	$19,091.00	$29,564.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,938.71 / $20,925.18 / $28,448.92	Facility		$14,938.71	$20,925.18	$28,448.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,648.31 / $48,220.90	Facility		$3,775.00	$17,648.31	$48,220.90