Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,167.50 / $16,216.90 / $28,558.00	Facility		$10,167.50	$16,216.90	$28,558.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $12,675.65 / $12,675.65 / $12,934.07	Facility		$12,675.65	$12,675.65	$12,934.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,590.00 / $15,026.31 / $21,856.48	Facility		$6,590.00	$15,026.31	$21,856.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,401.49 / $12,609.52 / $21,123.90	Facility		$9,401.49	$12,609.52	$21,123.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,936.53 / $12,628.95 / $16,595.30	Facility		$8,936.53	$12,628.95	$16,595.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,405.15 / $13,289.93 / $20,454.62	Facility		$6,405.15	$13,289.93	$20,454.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,335.53 / $14,477.34 / $19,682.73	Facility		$10,335.53	$14,477.34	$19,682.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $10,157.67 / $26,461.01	Facility		$3,775.00	$10,157.67	$26,461.01