Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,354.20 / $21,299.70 / $37,508.80	Facility		$13,354.20	$21,299.70	$37,508.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,390.00 / $18,420.70 / $25,393.15	Facility		$8,390.00	$18,420.70	$25,393.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,397.00 / $16,561.66 / $27,744.67	Facility		$12,397.00	$16,561.66	$27,744.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,941.10 / $16,248.91 / $21,718.40	Facility		$10,941.10	$16,248.91	$21,718.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,107.65 / $15,423.69 / $25,582.58	Facility		$8,107.65	$15,423.69	$25,582.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,510.02 / $18,084.34 / $24,914.43	Facility		$13,510.02	$18,084.34	$24,914.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,341.35 / $36,452.87	Facility		$3,775.00	$13,341.35	$36,452.87