Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.60 / $1,827.14 / $4,349.97	Professional		$1,217.60	$1,827.14	$4,349.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.84 / $2,926.47 / $10,738.32	Professional		$1,870.84	$2,926.47	$10,738.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.75 / $2,427.42 / $3,998.35	Professional		$1,459.75	$2,427.42	$3,998.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,257.28 / $2,478.48 / $3,774.25	Professional		$1,257.28	$2,478.48	$3,774.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $791.98 / $2,884.85	Professional		$157.37	$791.98	$2,884.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,845.27 / $2,615.51 / $3,516.54	Professional		$1,845.27	$2,615.51	$3,516.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,610.05 / $2,462.86 / $3,432.87	Professional		$1,610.05	$2,462.86	$3,432.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,781.22 / $2,544.60 / $4,073.44	Professional		$1,781.22	$2,544.60	$4,073.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,201.58 / $1,216.90 / $1,596.22	Professional		$1,201.58	$1,216.90	$1,596.22