Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.67 / $1,279.85 / $3,269.23	Professional		$982.67	$1,279.85	$3,269.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,364.16 / $2,163.31 / $10,915.46	Professional		$1,364.16	$2,163.31	$10,915.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.84 / $1,959.97 / $2,946.45	Professional		$1,199.84	$1,959.97	$2,946.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.11 / $2,405.89 / $5,218.14	Professional		$1,163.11	$2,405.89	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $575.37 / $1,937.65	Professional		$116.51	$575.37	$1,937.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.96 / $2,108.30 / $2,630.59	Professional		$1,487.96	$2,108.30	$2,630.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,321.78 / $1,906.46 / $2,579.28	Professional		$1,321.78	$1,906.46	$2,579.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.80 / $1,894.85 / $3,100.41	Professional		$1,316.80	$1,894.85	$3,100.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $813.57 / $813.57 / $1,055.66	Professional		$813.57	$813.57	$1,055.66