Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,426.00 / $101,883.00 / $172,709.00	Facility		$12,426.00	$101,883.00	$172,709.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $53,963.14 / $53,963.14 / $53,963.14	Facility		$53,963.14	$53,963.14	$53,963.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,300.00 / $19,770.00 / $67,580.39	Facility		$4,300.00	$19,770.00	$67,580.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,290.00 / $75,339.46 / $125,195.28	Facility		$3,290.00	$75,339.46	$125,195.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,200.00 / $58,930.20 / $73,817.85	Facility		$6,200.00	$58,930.20	$73,817.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,175.00 / $24,220.00 / $66,927.87	Facility		$4,175.00	$24,220.00	$66,927.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $17,135.00 / $25,865.00	Facility		$4,800.00	$17,135.00	$25,865.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $27,581.90 / $110,023.24	Facility		$1,200.00	$27,581.90	$110,023.24