Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53,243.10 / $84,921.50 / $149,547.00	Facility		$53,243.10	$84,921.50	$149,547.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $33,490.73 / $33,490.73 / $33,490.73	Facility		$33,490.73	$33,490.73	$33,490.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26,272.50 / $70,836.41 / $103,856.94	Facility		$26,272.50	$70,836.41	$103,856.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49,231.82 / $66,030.98 / $110,617.33	Facility		$49,231.82	$66,030.98	$110,617.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37,077.62 / $55,006.05 / $66,516.85	Facility		$37,077.62	$55,006.05	$66,516.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,470.68 / $64,770.47 / $96,371.02	Facility		$19,470.68	$64,770.47	$96,371.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48,695.39 / $69,143.30 / $94,034.89	Facility		$48,695.39	$69,143.30	$94,034.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $53,191.63 / $145,336.73	Facility		$3,775.00	$53,191.63	$145,336.73