Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,505.00 / $94,438.10 / $160,088.00	Facility		$4,505.00	$94,438.10	$160,088.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,822.00 / $5,350.00 / $107,213.46	Facility		$1,822.00	$5,350.00	$107,213.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,356.00 / $40,511.87 / $101,221.73	Facility		$11,356.00	$40,511.87	$101,221.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40,214.60 / $57,190.00 / $71,896.00	Facility		$40,214.60	$57,190.00	$71,896.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,412.18 / $72,654.61 / $106,497.01	Facility		$16,412.18	$72,654.61	$106,497.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,955.34 / $3,794.00	Facility		$1,500.00	$2,955.34	$3,794.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $59,963.92 / $163,840.84	Facility		$3,775.00	$59,963.92	$163,840.84