Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.25 / $1,206.25 / $2,459.85	Professional		$916.25	$1,206.25	$2,459.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,486.72 / $2,559.23 / $9,365.54	Professional		$1,486.72	$2,559.23	$9,365.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.69 / $2,232.65 / $3,523.18	Professional		$1,247.69	$2,232.65	$3,523.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.01 / $2,044.54 / $3,029.05	Professional		$1,036.01	$2,044.54	$3,029.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $1,002.72 / $2,533.07	Professional		$119.93	$1,002.72	$2,533.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $361.52 / $361.52 / $401.69	Professional		$361.52	$361.52	$401.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,660.79 / $2,459.98 / $2,944.29	Professional		$1,660.79	$2,459.98	$2,944.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,486.72 / $2,231.01 / $2,895.80	Professional		$1,486.72	$2,231.01	$2,895.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,086.51 / $1,361.48 / $2,855.79	Professional		$1,086.51	$1,361.48	$2,855.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,245.20 / $1,245.20 / $1,245.20	Professional		$1,245.20	$1,245.20	$1,245.20