Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.72 / $1,526.74 / $3,413.04	Professional		$1,094.72	$1,526.74	$3,413.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.43 / $2,609.08 / $9,976.00	Professional		$1,666.43	$2,609.08	$9,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.40 / $2,161.23 / $3,484.11	Professional		$1,265.40	$2,161.23	$3,484.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,222.26 / $2,501.42 / $4,127.78	Professional		$1,222.26	$2,501.42	$4,127.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $653.92 / $2,200.05	Professional		$118.16	$653.92	$2,200.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.39 / $2,518.69 / $3,122.24	Professional		$1,764.39	$2,518.69	$3,122.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,666.43 / $2,262.77 / $3,091.60	Professional		$1,666.43	$2,262.77	$3,091.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,456.98 / $1,923.85 / $3,330.25	Professional		$1,456.98	$1,923.85	$3,330.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $959.33 / $959.33 / $1,234.96	Professional		$959.33	$959.33	$1,234.96