Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.17 / $1,818.07 / $4,438.97	Professional		$837.17	$1,818.07	$4,438.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.56 / $3,114.84 / $12,126.80	Professional		$1,275.56	$3,114.84	$12,126.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.70 / $2,115.13 / $4,623.01	Professional		$1,026.70	$2,115.13	$4,623.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.65 / $2,188.44 / $5,051.79	Professional		$1,051.65	$2,188.44	$5,051.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.85 / $958.43 / $3,219.57	Professional		$191.85	$958.43	$3,219.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,229.42 / $2,142.00 / $4,103.47	Professional		$1,229.42	$2,142.00	$4,103.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,163.70 / $2,306.30 / $4,038.22	Professional		$1,163.70	$2,306.30	$4,038.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.52 / $2,715.90 / $4,767.64	Professional		$1,997.52	$2,715.90	$4,767.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $807.77 / $1,340.59 / $1,837.75	Professional		$807.77	$1,340.59	$1,837.75