Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,002.40 / $28,713.40 / $50,564.30	Facility		$18,002.40	$28,713.40	$50,564.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,585.00 / $29,058.49 / $40,056.80	Facility		$13,585.00	$29,058.49	$40,056.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,646.11 / $22,326.19 / $37,401.58	Facility		$16,646.11	$22,326.19	$37,401.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,259.20 / $23,116.60 / $29,915.60	Facility		$17,259.20	$23,116.60	$29,915.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,789.74 / $24,330.32 / $40,355.62	Facility		$12,789.74	$24,330.32	$40,355.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,311.94 / $28,527.91 / $39,302.30	Facility		$21,311.94	$28,527.91	$39,302.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,984.99 / $49,140.81	Facility		$3,775.00	$17,984.99	$49,140.81