Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71,201.89 / $113,565.00 / $199,989.00	Facility		$71,201.89	$113,565.00	$199,989.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42,791.16 / $94,440.86 / $138,728.92	Facility		$42,791.16	$94,440.86	$138,728.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65,837.73 / $88,303.25 / $147,928.57	Facility		$65,837.73	$88,303.25	$147,928.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49,383.75 / $74,279.70 / $88,593.91	Facility		$49,383.75	$74,279.70	$88,593.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,128.31 / $86,518.41 / $128,484.23	Facility		$26,128.31	$86,518.41	$128,484.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64,921.90 / $92,373.33 / $125,627.73	Facility		$64,921.90	$92,373.33	$125,627.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $71,133.17 / $194,358.84	Facility		$3,775.00	$71,133.17	$194,358.84