Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.70 / $1,869.30 / $4,437.37	Professional		$1,274.70	$1,869.30	$4,437.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.35 / $3,018.01 / $10,902.32	Professional		$1,965.35	$3,018.01	$10,902.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.83 / $2,520.23 / $4,049.17	Professional		$1,519.83	$2,520.23	$4,049.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,264.18 / $2,539.50 / $3,833.46	Professional		$1,264.18	$2,539.50	$3,833.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $832.67 / $2,906.58	Professional		$157.37	$832.67	$2,906.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,923.35 / $2,740.60 / $3,589.88	Professional		$1,923.35	$2,740.60	$3,589.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,670.55 / $2,541.75 / $3,574.81	Professional		$1,670.55	$2,541.75	$3,574.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,840.66 / $2,492.03 / $4,293.77	Professional		$1,840.66	$2,492.03	$4,293.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,234.02 / $1,254.09 / $1,610.85	Professional		$1,234.02	$1,254.09	$1,610.85