Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,251.50 / $37,085.60 / $65,307.90	Facility		$23,251.50	$37,085.60	$65,307.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,491.76 / $34,769.44 / $50,556.16	Facility		$12,491.76	$34,769.44	$50,556.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,499.79 / $28,836.07 / $48,307.16	Facility		$21,499.79	$28,836.07	$48,307.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,500.59 / $25,836.60 / $32,579.26	Facility		$16,500.59	$25,836.60	$32,579.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,233.17 / $30,281.44 / $48,192.82	Facility		$9,233.17	$30,281.44	$48,192.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,541.66 / $34,235.14 / $46,427.14	Facility		$24,541.66	$34,235.14	$46,427.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $23,229.06 / $63,469.30	Facility		$3,775.00	$23,229.06	$63,469.30