Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,505.00 / $23,462.30 / $39,772.40	Facility		$4,505.00	$23,462.30	$39,772.40
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $18,677.38 / $18,677.38 / $21,816.81	Facility		$18,677.38	$18,677.38	$21,816.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,596.00 / $25,402.90	Facility		$1,499.00	$3,596.00	$25,402.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,812.00 / $10,064.82 / $25,147.64	Facility		$5,812.00	$10,064.82	$25,147.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $14,264.25 / $19,019.00	Facility		$2,200.00	$14,264.25	$19,019.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $14,513.20 / $23,167.44	Facility		$1,691.00	$14,513.20	$23,167.44
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 / $14,897.50 / $38,808.40	Facility		$3,775.00	$14,897.50	$38,808.40