Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,058.70 / $33,588.10 / $59,148.70	Facility		$21,058.70	$33,588.10	$59,148.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,615.02 / $24,155.18 / $34,384.16	Facility		$10,615.02	$24,155.18	$34,384.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,472.16 / $26,116.56 / $43,751.34	Facility		$19,472.16	$26,116.56	$43,751.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,733.69 / $20,697.84 / $24,638.08	Facility		$13,733.69	$20,697.84	$24,638.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $20,615.36 / $33,641.86	Facility		$6,746.00	$20,615.36	$33,641.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,455.18 / $23,929.61 / $32,807.89	Facility		$17,455.18	$23,929.61	$32,807.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $21,038.34 / $57,483.55	Facility		$3,775.00	$21,038.34	$57,483.55