Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,746.70 / $24,444.60 / $41,437.60	Facility		$16,746.70	$24,444.60	$41,437.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,900.36 / $20,722.38 / $30,111.02	Facility		$8,900.36	$20,722.38	$30,111.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,397.00 / $19,267.70 / $32,277.91	Facility		$12,397.00	$19,267.70	$32,277.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,626.00 / $15,508.43 / $20,296.43	Facility		$8,626.00	$15,508.43	$20,296.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,900.36 / $18,289.30 / $28,614.20	Facility		$8,900.36	$18,289.30	$28,614.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,830.94 / $20,117.18 / $27,651.79	Facility		$14,830.94	$20,117.18	$27,651.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $8,888.00 / $26,397.55	Facility		$3,775.00	$8,888.00	$26,397.55