Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.82 / $1,850.19 / $4,042.10	Professional		$863.82	$1,850.19	$4,042.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.72 / $2,402.02 / $8,346.98	Professional		$1,335.72	$2,402.02	$8,346.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.30 / $1,830.30 / $1,830.30	Professional		$1,830.30	$1,830.30	$1,830.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,102.67 / $2,063.06 / $2,989.24	Professional		$1,102.67	$2,063.06	$2,989.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $1,481.18 / $2,519.70	Professional		$252.00	$1,481.18	$2,519.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.56 / $1,306.56 / $1,306.56	Professional		$1,306.56	$1,306.56	$1,306.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,343.96 / $1,978.43 / $2,710.53	Professional		$1,343.96	$1,978.43	$2,710.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.08 / $1,336.66 / $2,638.48	Professional		$1,047.08	$1,336.66	$2,638.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,100.49 / $1,100.49 / $1,100.49	Professional		$1,100.49	$1,100.49	$1,100.49