Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,868.70 / $46,045.00 / $81,085.20	Facility		$28,868.70	$46,045.00	$81,085.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17,221.00 / $38,072.06 / $55,358.00	Facility		$17,221.00	$38,072.06	$55,358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,693.80 / $35,802.41 / $59,977.41	Facility		$26,693.80	$35,802.41	$59,977.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21,310.30 / $31,127.25 / $38,230.44	Facility		$21,310.30	$31,127.25	$38,230.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,970.39 / $33,157.76 / $52,770.48	Facility		$10,970.39	$33,157.76	$52,770.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,797.10 / $37,486.80 / $50,836.80	Facility		$26,797.10	$37,486.80	$50,836.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $28,840.83 / $78,802.49	Facility		$3,775.00	$28,840.83	$78,802.49