Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97,723.72 / $147,910.84 / $245,470.89	Facility		$97,723.72	$147,910.84	$245,470.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70,794.58 / $100,000.00 / $100,000.00	Facility		$70,794.58	$100,000.00	$100,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81,283.05 / $128,824.96 / $190,546.07	Facility		$81,283.05	$128,824.96	$190,546.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89,125.09 / $120,226.44 / $162,181.01	Facility		$89,125.09	$120,226.44	$162,181.01
United Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $131,825.67 / $186,208.71	Facility		$45,708.82	$131,825.67	$186,208.71