Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,191.20 / $21,039.60 / $37,050.80	Facility		$13,191.20	$21,039.60	$37,050.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,409.77 / $17,398.81 / $25,467.79	Facility		$8,409.77	$17,398.81	$25,467.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,197.38 / $16,359.44 / $27,405.89	Facility		$12,197.38	$16,359.44	$27,405.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,426.58 / $15,567.93 / $19,158.38	Facility		$10,426.58	$15,567.93	$19,158.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $15,255.29 / $23,865.15	Facility		$6,409.00	$15,255.29	$23,865.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,058.84 / $16,891.24 / $22,964.56	Facility		$12,058.84	$16,891.24	$22,964.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,178.44 / $34,330.19	Facility		$3,775.00	$13,178.44	$34,330.19