Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.10 / $735.09 / $1,084.31	Professional		$508.10	$735.09	$1,084.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $537.95 / $977.26 / $4,453.58	Professional		$537.95	$977.26	$4,453.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.26 / $1,071.88 / $1,674.50	Professional		$667.26	$1,071.88	$1,674.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.12 / $923.32 / $1,589.46	Professional		$561.12	$923.32	$1,589.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $436.07 / $1,178.27	Professional		$96.58	$436.07	$1,178.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.71 / $1,208.70 / $1,518.00	Professional		$764.71	$1,208.70	$1,518.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $511.05 / $693.35 / $1,261.10	Professional		$511.05	$693.35	$1,261.10
United Facility/Professional Professional Modifier Low / Median / High Price $689.23 / $1,111.65 / $1,820.36	Professional		$689.23	$1,111.65	$1,820.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $406.37 / $491.72 / $568.44	Professional		$406.37	$491.72	$568.44