Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,751.80 / $21,933.80 / $38,625.50	Facility		$13,751.80	$21,933.80	$38,625.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,746.00 / $19,041.73 / $27,681.22	Facility		$6,746.00	$19,041.73	$27,681.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,715.78 / $17,054.73 / $28,570.66	Facility		$12,715.78	$17,054.73	$28,570.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,512.87 / $14,633.85 / $17,377.00	Facility		$9,512.87	$14,633.85	$17,377.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $17,069.75 / $25,905.76	Facility		$6,409.00	$17,069.75	$25,905.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,089.94 / $18,335.54 / $24,928.17	Facility		$13,089.94	$18,335.54	$24,928.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $13,738.53 / $35,789.25	Facility		$3,775.00	$13,738.53	$35,789.25