Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,505.00 / $39,313.10 / $66,642.20	Facility		$4,505.00	$39,313.10	$66,642.20
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $24,005.78 / $24,005.78 / $24,005.78	Facility		$24,005.78	$24,005.78	$24,005.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,596.00 / $44,260.30	Facility		$1,499.00	$3,596.00	$44,260.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,812.00 / $16,864.49 / $42,137.09	Facility		$5,812.00	$16,864.49	$42,137.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $23,880.45 / $31,840.60	Facility		$2,200.00	$23,880.45	$31,840.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $25,519.13 / $41,640.60	Facility		$1,691.00	$25,519.13	$41,640.60
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 / $24,962.08 / $65,026.91	Facility		$3,775.00	$24,962.08	$65,026.91