Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.90 / $958.32 / $1,973.25	Professional		$722.90	$958.32	$1,973.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,431.51 / $1,431.51 / $1,431.51	Professional		$1,431.51	$1,431.51	$1,431.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.38 / $1,750.91 / $7,119.68	Professional		$1,047.38	$1,750.91	$7,119.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.54 / $1,555.25 / $2,892.03	Professional		$868.54	$1,555.25	$2,892.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.48 / $1,062.70 / $1,957.03	Professional		$700.48	$1,062.70	$1,957.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $1,157.24 / $2,083.04	Professional		$222.25	$1,157.24	$2,083.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.78 / $1,778.97 / $2,215.14	Professional		$1,219.78	$1,778.97	$2,215.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,112.78 / $1,431.05 / $2,014.16	Professional		$1,112.78	$1,431.05	$2,014.16
United Facility/Professional Professional Modifier Low / Median / High Price $594.90 / $1,064.86 / $2,420.50	Professional		$594.90	$1,064.86	$2,420.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $655.20 / $907.48 / $907.48	Professional		$655.20	$907.48	$907.48