Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,253.70 / $25,924.30 / $45,652.70	Facility		$16,253.70	$25,924.30	$45,652.70
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $18,713.86 / $18,713.86 / $18,713.86	Facility		$18,713.86	$18,713.86	$18,713.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,395.11 / $20,487.25 / $29,600.98	Facility		$8,395.11	$20,487.25	$29,600.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,029.18 / $20,157.52 / $33,768.55	Facility		$15,029.18	$20,157.52	$33,768.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,775.45 / $15,868.05 / $19,331.04	Facility		$10,775.45	$15,868.05	$19,331.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $17,729.22 / $28,216.00	Facility		$6,409.00	$17,729.22	$28,216.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,485.89 / $20,044.91 / $27,226.97	Facility		$14,485.89	$20,044.91	$27,226.97
United Facility/Professional Facility Modifier Low / Median / High Price $8,603.04 / $23,463.73 / $32,909.29	Facility		$8,603.04	$23,463.73	$32,909.29