Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,505.00 / $21,571.00 / $36,566.50	Facility		$4,505.00	$21,571.00	$36,566.50
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $11,343.30 / $13,315.82 / $19,255.22	Facility		$11,343.30	$13,315.82	$19,255.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.40 / $3,712.00 / $21,995.89	Facility		$1,490.40	$3,712.00	$21,995.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,812.00 / $9,253.51 / $23,120.53	Facility		$5,812.00	$9,253.51	$23,120.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $13,645.50 / $18,194.00	Facility		$2,200.00	$13,645.50	$18,194.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $14,236.94 / $21,321.01	Facility		$1,591.00	$14,236.94	$21,321.01
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 $5,839.72 / $8,688.17 / $19,791.49	Facility		$5,839.72	$8,688.17	$19,791.49