Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,674.80 / $29,785.90 / $52,453.10	Facility		$18,674.80	$29,785.90	$52,453.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,281.00 / $24,224.36 / $33,681.62	Facility		$10,281.00	$24,224.36	$33,681.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,267.90 / $23,160.15 / $38,798.66	Facility		$17,267.90	$23,160.15	$38,798.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,407.92 / $19,070.59 / $24,679.60	Facility		$13,407.92	$19,070.59	$24,679.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,609.95 / $21,296.32 / $30,895.52	Facility		$9,609.95	$21,296.32	$30,895.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,013.37 / $22,720.74 / $31,228.93	Facility		$16,013.37	$22,720.74	$31,228.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $18,656.79 / $48,601.44	Facility		$3,775.00	$18,656.79	$48,601.44