Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,601.60 / $45,618.90 / $80,335.00	Facility		$28,601.60	$45,618.90	$80,335.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $35,185.15 / $35,185.15 / $35,185.15	Facility		$35,185.15	$35,185.15	$35,185.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,972.50 / $38,449.43 / $56,269.23	Facility		$16,972.50	$38,449.43	$56,269.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,446.81 / $35,471.14 / $59,422.45	Facility		$26,446.81	$35,471.14	$59,422.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,514.03 / $30,132.30 / $36,801.94	Facility		$20,514.03	$30,132.30	$36,801.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,525.58 / $33,703.58 / $52,870.35	Facility		$11,525.58	$33,703.58	$52,870.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,714.90 / $37,420.50 / $50,875.21	Facility		$26,714.90	$37,420.50	$50,875.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $28,573.98 / $74,435.99	Facility		$3,775.00	$28,573.98	$74,435.99