Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75,857.76 / $114,815.36 / $190,546.07	Facility		$75,857.76	$114,815.36	$190,546.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $81,283.05 / $93,325.43	Facility		$64,565.42	$81,283.05	$93,325.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $104,712.85 / $169,824.37	Facility		$64,565.42	$104,712.85	$169,824.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72,443.60 / $100,000.00 / $158,489.32	Facility		$72,443.60	$100,000.00	$158,489.32
United Facility/Professional Facility Modifier Low / Median / High Price $35,481.34 / $104,712.85 / $144,543.98	Facility		$35,481.34	$104,712.85	$144,543.98