Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,623.59 / $29,704.20 / $52,309.10	Facility		$18,623.59	$29,704.20	$52,309.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,180.95 / $22,809.57 / $33,838.24	Facility		$9,180.95	$22,809.57	$33,838.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,220.50 / $23,096.59 / $38,692.19	Facility		$17,220.50	$23,096.59	$38,692.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,667.03 / $19,014.59 / $22,724.50	Facility		$12,667.03	$19,014.59	$22,724.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $21,287.31 / $30,831.76	Facility		$6,600.00	$21,287.31	$30,831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,579.01 / $22,795.70 / $31,021.02	Facility		$15,579.01	$22,795.70	$31,021.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $18,605.59 / $50,836.49	Facility		$3,775.00	$18,605.59	$50,836.49