Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,322.10 / $45,173.00 / $79,549.80	Facility		$28,322.10	$45,173.00	$79,549.80
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $36,833.33 / $36,833.33 / $37,334.44	Facility		$36,833.33	$36,833.33	$37,334.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,920.57 / $38,641.48 / $56,173.63	Facility		$13,920.57	$38,641.48	$56,173.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,188.33 / $35,124.46 / $58,841.68	Facility		$26,188.33	$35,124.46	$58,841.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,996.37 / $31,295.55 / $37,667.26	Facility		$20,996.37	$31,295.55	$37,667.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,012.34 / $34,251.28 / $52,570.68	Facility		$11,012.34	$34,251.28	$52,570.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,563.48 / $37,208.40 / $50,586.85	Facility		$26,563.48	$37,208.40	$50,586.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $28,294.71 / $73,708.48	Facility		$3,775.00	$28,294.71	$73,708.48