Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,505.00 / $15,073.80 / $25,552.60	Facility		$4,505.00	$15,073.80	$25,552.60
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $14,073.53 / $14,073.53 / $14,073.53	Facility		$14,073.53	$14,073.53	$14,073.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.40 / $3,570.00 / $15,560.69	Facility		$1,490.40	$3,570.00	$15,560.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,812.00 / $6,916.00 / $16,156.61	Facility		$5,812.00	$6,916.00	$16,156.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $9,333.00 / $12,078.00	Facility		$2,200.00	$9,333.00	$12,078.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $9,674.79 / $15,083.25	Facility		$1,591.00	$9,674.79	$15,083.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,818.00 / $3,735.00	Facility		$1,500.00	$2,818.00	$3,735.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,701.40 / $9,571.20 / $24,933.25	Facility		$3,701.40	$9,571.20	$24,933.25