Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26,977.20 / $43,028.00 / $75,772.30	Facility		$26,977.20	$43,028.00	$75,772.30
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $30,589.92 / $30,589.92 / $30,589.92	Facility		$30,589.92	$30,589.92	$30,589.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,236.94 / $35,161.23 / $51,114.35	Facility		$12,236.94	$35,161.23	$51,114.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,944.76 / $33,456.55 / $56,047.53	Facility		$24,944.76	$33,456.55	$56,047.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18,720.98 / $27,291.07 / $33,585.24	Facility		$18,720.98	$27,291.07	$33,585.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,977.73 / $31,194.26 / $47,835.89	Facility		$7,977.73	$31,194.26	$47,835.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,171.04 / $33,857.22 / $46,030.73	Facility		$24,171.04	$33,857.22	$46,030.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $26,951.11 / $73,639.14	Facility		$3,775.00	$26,951.11	$73,639.14