Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,919.20 / $36,555.60 / $64,374.40	Facility		$22,919.20	$36,555.60	$64,374.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,775.91 / $27,752.16 / $40,103.44	Facility		$10,775.91	$27,752.16	$40,103.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,192.49 / $28,423.91 / $47,616.69	Facility		$21,192.49	$28,423.91	$47,616.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,892.00 / $22,750.08 / $26,716.09	Facility		$14,892.00	$22,750.08	$26,716.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,639.39 / $24,022.10 / $38,231.10	Facility		$6,639.39	$24,022.10	$38,231.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,612.56 / $27,156.87 / $36,862.80	Facility		$19,612.56	$27,156.87	$36,862.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $22,897.04 / $62,562.11	Facility		$3,775.00	$22,897.04	$62,562.11