Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30,979.20 / $49,411.20 / $87,013.20	Facility		$30,979.20	$49,411.20	$87,013.20
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $23,123.52 / $23,123.52 / $23,123.52	Facility		$23,123.52	$23,123.52	$23,123.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17,670.00 / $39,031.67 / $56,740.86	Facility		$17,670.00	$39,031.67	$56,740.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,645.33 / $38,419.85 / $64,362.22	Facility		$28,645.33	$38,419.85	$64,362.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,493.40 / $31,478.70 / $36,764.94	Facility		$20,493.40	$31,478.70	$36,764.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,351.12 / $35,126.26 / $53,101.52	Facility		$10,351.12	$35,126.26	$53,101.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,831.71 / $37,820.44 / $51,369.02	Facility		$26,831.71	$37,820.44	$51,369.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $30,949.32 / $80,623.83	Facility		$3,775.00	$30,949.32	$80,623.83