Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,505.00 / $42,641.20 / $72,283.80	Facility		$4,505.00	$42,641.20	$72,283.80
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $26,456.66 / $34,588.93 / $45,266.06	Facility		$26,456.66	$34,588.93	$45,266.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.40 / $3,712.00 / $44,400.69	Facility		$1,490.40	$3,712.00	$44,400.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,812.00 / $18,292.14 / $45,704.17	Facility		$5,812.00	$18,292.14	$45,704.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $29,374.95 / $39,166.60	Facility		$2,200.00	$29,374.95	$39,166.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $28,738.55 / $43,065.58	Facility		$1,591.00	$28,738.55	$43,065.58
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 $3,775.00 / $27,075.23 / $70,531.71	Facility		$3,775.00	$27,075.23	$70,531.71