Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,431.80 / $19,828.40 / $34,917.80	Facility		$12,431.80	$19,828.40	$34,917.80
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $15,523.71 / $15,523.71 / $15,523.71	Facility		$15,523.71	$15,523.71	$15,523.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,483.18 / $16,732.16 / $24,427.30	Facility		$7,483.18	$16,732.16	$24,427.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,495.18 / $15,417.63 / $25,828.13	Facility		$11,495.18	$15,417.63	$25,828.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,851.79 / $12,987.15 / $15,880.02	Facility		$8,851.79	$12,987.15	$15,880.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $14,800.74 / $22,860.54	Facility		$6,409.00	$14,800.74	$22,860.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,551.22 / $16,180.20 / $21,997.86	Facility		$11,551.22	$16,180.20	$21,997.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $12,419.76 / $32,353.81	Facility		$3,775.00	$12,419.76	$32,353.81