Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,874.60 / $23,724.70 / $41,779.19	Facility		$14,874.60	$23,724.70	$41,779.19
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $8,771.84 / $14,658.67 / $15,956.22	Facility		$8,771.84	$14,658.67	$15,956.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,455.00 / $18,714.11 / $27,165.85	Facility		$8,455.00	$18,714.11	$27,165.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,397.00 / $18,447.23 / $30,903.42	Facility		$12,397.00	$18,447.23	$30,903.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,263.37 / $15,482.80 / $22,200.00	Facility		$8,263.37	$15,482.80	$22,200.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,742.12 / $16,354.88 / $24,890.53	Facility		$7,742.12	$16,354.88	$24,890.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,049.08 / $17,677.72 / $24,947.16	Facility		$13,049.08	$17,677.72	$24,947.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $12,697.00 / $25,273.47	Facility		$5,000.00	$12,697.00	$25,273.47