Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,906.20 / $30,155.00 / $53,103.00	Facility		$18,906.20	$30,155.00	$53,103.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $14,597.39 / $14,597.39 / $14,597.39	Facility		$14,597.39	$14,597.39	$14,597.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,243.27 / $24,275.74 / $35,432.32	Facility		$9,243.27	$24,275.74	$35,432.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,481.86 / $23,447.12 / $39,279.41	Facility		$17,481.86	$23,447.12	$39,279.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,827.63 / $20,131.40 / $24,806.62	Facility		$13,827.63	$20,131.40	$24,806.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,816.66 / $22,097.40 / $33,026.49	Facility		$6,816.66	$22,097.40	$33,026.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,687.98 / $23,613.82 / $32,130.82	Facility		$16,687.98	$23,613.82	$32,130.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $18,887.96 / $49,203.66	Facility		$3,775.00	$18,887.96	$49,203.66