Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $334.52 / $483.48 / $636.21	Facility	54	$334.52	$483.48	$636.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $391.88 / $847.44	Professional		$264.06	$391.88	$847.44
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $554.92 / $989.74 / $989.74	Facility	54	$554.92	$989.74	$989.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $463.39 / $738.55 / $2,686.80	Professional		$463.39	$738.55	$2,686.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $590.21 / $1,040.64	Professional		$321.45	$590.21	$1,040.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.82 / $510.24 / $818.51	Professional		$254.82	$510.24	$818.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $131.76 / $675.21	Professional		$28.95	$131.76	$675.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.65 / $699.75 / $866.07	Professional		$476.65	$699.75	$866.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $429.26 / $639.41 / $853.24	Professional		$429.26	$639.41	$853.24
United Facility/Professional Professional Modifier Low / Median / High Price $386.62 / $509.97 / $976.60	Professional		$386.62	$509.97	$976.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $344.40 / $391.75	Professional		$290.97	$344.40	$391.75