Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.29 / $1,623.81 / $3,182.30	Professional		$492.29	$1,623.81	$3,182.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $696.03 / $2,530.51 / $20,549.21	Professional		$696.03	$2,530.51	$20,549.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.24 / $1,598.53 / $4,221.21	Professional		$722.24	$1,598.53	$4,221.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.06 / $1,720.50 / $4,876.22	Professional		$917.06	$1,720.50	$4,876.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $413.48 / $3,050.27	Professional		$107.22	$413.48	$3,050.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.24 / $1,276.46 / $3,598.37	Professional		$685.24	$1,276.46	$3,598.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.97 / $1,365.45 / $3,197.63	Professional		$607.97	$1,365.45	$3,197.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,892.00 / $3,083.90 / $4,219.32	Professional		$1,892.00	$3,083.90	$4,219.32