Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,956.20 / $33,424.60 / $58,860.80	Facility		$20,956.20	$33,424.60	$58,860.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,943.74 / $26,352.31 / $38,277.87	Facility		$12,943.74	$26,352.31	$38,277.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,377.38 / $25,989.44 / $43,538.39	Facility		$19,377.38	$25,989.44	$43,538.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,732.75 / $22,082.94 / $26,430.39	Facility		$14,732.75	$22,082.94	$26,430.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,535.56 / $22,926.71 / $36,487.79	Facility		$7,535.56	$22,926.71	$36,487.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,623.28 / $25,920.65 / $35,151.65	Facility		$18,623.28	$25,920.65	$35,151.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,935.93 / $57,203.76	Facility		$3,775.00	$20,935.93	$57,203.76