Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33,027.60 / $52,678.40 / $92,766.60	Facility		$33,027.60	$52,678.40	$92,766.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17,669.07 / $44,279.38 / $64,898.54	Facility		$17,669.07	$44,279.38	$64,898.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,539.41 / $40,960.24 / $68,617.98	Facility		$30,539.41	$40,960.24	$68,617.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,299.31 / $31,213.05 / $40,740.35	Facility		$20,299.31	$31,213.05	$40,740.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,851.28 / $38,940.19 / $60,735.97	Facility		$9,851.28	$38,940.19	$60,735.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30,689.33 / $42,987.62 / $58,444.01	Facility		$30,689.33	$42,987.62	$58,444.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $32,995.75 / $85,954.83	Facility		$3,775.00	$32,995.75	$85,954.83