Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,163.90 / $28,971.00 / $51,018.00	Facility		$18,163.90	$28,971.00	$51,018.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,786.39 / $25,831.89 / $37,860.78	Facility		$9,786.39	$25,831.89	$37,860.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,795.46 / $22,526.50 / $37,737.14	Facility		$16,795.46	$22,526.50	$37,737.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,291.65 / $19,300.09 / $25,639.06	Facility		$14,291.65	$19,300.09	$25,639.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $22,708.75 / $35,432.41	Facility		$6,600.00	$22,708.75	$35,432.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,903.66 / $25,078.30 / $34,095.31	Facility		$17,903.66	$25,078.30	$34,095.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $18,146.34 / $49,581.68	Facility		$3,775.00	$18,146.34	$49,581.68