Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.95 / $1,830.63 / $4,850.05	Professional		$442.95	$1,830.63	$4,850.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $688.64 / $3,664.35 / $14,246.32	Professional		$688.64	$3,664.35	$14,246.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.98 / $1,306.03 / $5,784.09	Professional		$523.98	$1,306.03	$5,784.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.04 / $1,911.46 / $5,701.47	Professional		$575.04	$1,911.46	$5,701.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.68 / $2,978.97 / $5,029.86	Professional		$510.68	$2,978.97	$5,029.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.83 / $2,647.32 / $5,276.60	Professional		$725.83	$2,647.32	$5,276.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $1,515.50 / $4,881.96	Professional		$736.90	$1,515.50	$4,881.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,341.92 / $3,919.34 / $6,090.59	Professional		$2,341.92	$3,919.34	$6,090.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.59 / $416.59 / $2,135.19	Professional		$416.59	$416.59	$2,135.19