Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27,988.20 / $44,640.50 / $78,612.00	Facility		$27,988.20	$44,640.50	$78,612.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $3,953.32 / $3,953.32 / $4,736.00	Facility		$3,953.32	$3,953.32	$4,736.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,628.11 / $27,633.05 / $47,768.90	Facility		$6,628.11	$27,633.05	$47,768.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.00 / $33,333.49 / $59,112.16	Facility		$2,570.00	$33,333.49	$59,112.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,200.00 / $25,471.60 / $37,840.00	Facility		$6,200.00	$25,471.60	$37,840.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $24,993.79 / $39,863.05	Facility		$6,600.00	$24,993.79	$39,863.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $31,062.62 / $47,058.78	Facility		$7,500.00	$31,062.62	$47,058.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $11,921.55 / $47,554.65	Facility		$1,200.00	$11,921.55	$47,554.65