Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,808.80 / $34,784.50 / $61,255.60	Facility		$21,808.80	$34,784.50	$61,255.60
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $33,253.92 / $33,253.92 / $33,253.92	Facility		$33,253.92	$33,253.92	$33,253.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,403.53 / $29,444.72 / $42,804.19	Facility		$13,403.53	$29,444.72	$42,804.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,165.75 / $27,046.82 / $45,309.74	Facility		$20,165.75	$27,046.82	$45,309.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15,326.23 / $22,758.45 / $27,495.09	Facility		$15,326.23	$22,758.45	$27,495.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,275.15 / $26,207.28 / $40,058.74	Facility		$7,275.15	$26,207.28	$40,058.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,241.32 / $28,352.72 / $38,547.07	Facility		$20,241.32	$28,352.72	$38,547.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $21,787.71 / $56,757.59	Facility		$3,775.00	$21,787.71	$56,757.59