Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,893.50 / $26,944.80 / $47,449.80	Facility		$16,893.50	$26,944.80	$47,449.80
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $14,480.46 / $14,480.46 / $14,480.46	Facility		$14,480.46	$14,480.46	$14,480.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,609.44 / $22,754.84 / $33,079.01	Facility		$10,609.44	$22,754.84	$33,079.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,620.81 / $20,951.03 / $35,097.87	Facility		$15,620.81	$20,951.03	$35,097.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,575.37 / $18,633.45 / $22,560.07	Facility		$12,575.37	$18,633.45	$22,560.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,655.30 / $20,560.16 / $30,957.34	Facility		$6,655.30	$20,560.16	$30,957.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,642.46 / $22,134.39 / $30,117.78	Facility		$15,642.46	$22,134.39	$30,117.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $16,877.22 / $43,965.61	Facility		$3,775.00	$16,877.22	$43,965.61