Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,859.87 / $14,131.30 / $24,885.20	Facility		$8,859.87	$14,131.30	$24,885.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,412.25 / $12,704.28 / $18,793.87	Facility		$5,412.25	$12,704.28	$18,793.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,192.37 / $10,987.83 / $18,407.18	Facility		$8,192.37	$10,987.83	$18,407.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,363.51 / $10,043.60 / $13,210.06	Facility		$7,363.51	$10,043.60	$13,210.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,412.25 / $11,720.81 / $17,283.82	Facility		$5,412.25	$11,720.81	$17,283.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,733.36 / $12,513.19 / $17,017.93	Facility		$8,733.36	$12,513.19	$17,017.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,423.00 / $8,851.31 / $23,057.90	Facility		$3,423.00	$8,851.31	$23,057.90