Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $53.43 / $71.34	Professional		$39.00	$53.43	$71.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $112.26 / $386.96	Professional		$69.76	$112.26	$386.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $99.23 / $156.09	Professional		$61.72	$99.23	$156.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $98.01 / $131.19	Professional		$61.09	$98.01	$131.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.94 / $180.72	Professional		$17.11	$110.94	$180.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $99.85 / $132.84	Professional		$69.77	$99.85	$132.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $92.64 / $124.02	Professional		$67.84	$92.64	$124.02
United Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $102.81 / $146.76	Professional		$66.37	$102.81	$146.76