Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,347.60 / $16,504.30 / $29,064.00	Facility		$10,347.60	$16,504.30	$29,064.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,887.70 / $13,820.31 / $20,090.75	Facility		$5,887.70	$13,820.31	$20,090.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,568.07 / $12,832.94 / $21,498.17	Facility		$9,568.07	$12,832.94	$21,498.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,876.58 / $10,863.60 / $12,612.07	Facility		$6,876.58	$10,863.60	$12,612.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,887.70 / $12,369.66 / $18,802.15	Facility		$5,887.70	$12,369.66	$18,802.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,500.54 / $13,307.76 / $18,092.62	Facility		$9,500.54	$13,307.76	$18,092.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $10,337.64 / $26,929.85	Facility		$3,775.00	$10,337.64	$26,929.85