Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.26 / $1,777.12 / $3,991.01	Professional		$1,163.26	$1,777.12	$3,991.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.32 / $2,700.64 / $13,311.20	Professional		$1,787.32	$2,700.64	$13,311.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.17 / $2,370.16 / $3,714.95	Professional		$1,392.17	$2,370.16	$3,714.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,396.24 / $2,620.46 / $4,152.10	Professional		$1,396.24	$2,620.46	$4,152.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $754.64 / $2,673.56	Professional		$157.08	$754.64	$2,673.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,821.60 / $2,594.67 / $3,331.23	Professional		$1,821.60	$2,594.67	$3,331.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,602.32 / $2,402.07 / $3,294.27	Professional		$1,602.32	$2,402.07	$3,294.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,687.14 / $2,249.52 / $3,969.81	Professional		$1,687.14	$2,249.52	$3,969.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,114.76 / $1,201.46 / $1,464.67	Professional		$1,114.76	$1,201.46	$1,464.67