Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,504.90 / $21,540.00 / $37,932.00	Facility		$13,504.90	$21,540.00	$37,932.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $18,816.34 / $27,517.28	Facility		$6,746.00	$18,816.34	$27,517.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,487.46 / $16,748.50 / $28,057.64	Facility		$12,487.46	$16,748.50	$28,057.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,171.45 / $13,843.50 / $17,568.45	Facility		$9,171.45	$13,843.50	$17,568.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $16,481.08 / $26,191.16	Facility		$6,409.00	$16,481.08	$26,191.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,234.15 / $18,537.54 / $25,202.80	Facility		$13,234.15	$18,537.54	$25,202.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,491.84 / $35,146.62	Facility		$3,775.00	$13,491.84	$35,146.62