Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,225.30 / $21,094.10 / $37,146.80	Facility		$13,225.30	$21,094.10	$37,146.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,204.71 / $17,782.84 / $26,024.48	Facility		$7,204.71	$17,782.84	$26,024.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,228.98 / $16,401.82 / $27,476.87	Facility		$12,228.98	$16,401.82	$27,476.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,336.64 / $14,431.30 / $18,543.82	Facility		$10,336.64	$14,431.30	$18,543.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $15,586.88 / $24,684.25	Facility		$6,409.00	$15,586.88	$24,684.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,472.72 / $17,470.98 / $23,752.75	Facility		$12,472.72	$17,470.98	$23,752.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,212.57 / $34,419.12	Facility		$3,775.00	$13,212.57	$34,419.12