Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,018.90 / $22,359.90 / $39,375.80	Facility		$14,018.90	$22,359.90	$39,375.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,601.57 / $19,042.91 / $27,932.09	Facility		$8,601.57	$19,042.91	$27,932.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,962.77 / $17,386.00 / $29,125.62	Facility		$12,962.77	$17,386.00	$29,125.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,540.05 / $16,143.20 / $20,525.22	Facility		$10,540.05	$16,143.20	$20,525.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,409.00 / $17,163.82 / $24,980.31	Facility		$6,409.00	$17,163.82	$24,980.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,190.07 / $18,277.57 / $24,952.41	Facility		$12,190.07	$18,277.57	$24,952.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,420.19 / $19,729.41 / $27,666.85	Facility		$7,420.19	$19,729.41	$27,666.85