Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,709.60 / $18,676.59 / $31,231.40	Facility		$11,709.60	$18,676.59	$31,231.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $7,362.54 / $9,362.85 / $14,413.69	Facility		$7,362.54	$9,362.85	$14,413.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,074.00 / $15,536.59 / $22,503.96	Facility		$7,074.00	$15,536.59	$22,503.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,818.00 / $14,522.04 / $24,327.81	Facility		$8,818.00	$14,522.04	$24,327.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,300.00 / $12,100.00 / $16,161.20	Facility		$6,300.00	$12,100.00	$16,161.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $13,666.92 / $21,354.08	Facility		$6,746.00	$13,666.92	$21,354.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,119.86 / $15,083.34 / $20,666.02	Facility		$11,119.86	$15,083.34	$20,666.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $8,888.00 / $19,895.80	Facility		$3,775.00	$8,888.00	$19,895.80