Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $196.80 / $611.95	Professional		$116.65	$196.80	$611.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $438.54 / $1,710.56	Professional		$189.88	$438.54	$1,710.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.42 / $318.31 / $612.75	Professional		$172.42	$318.31	$612.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.84 / $342.08 / $598.05	Professional		$195.84	$342.08	$598.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $327.18 / $577.72	Professional		$58.69	$327.18	$577.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $331.34 / $578.01	Professional		$189.88	$331.34	$578.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.18 / $318.32 / $534.05	Professional		$180.18	$318.32	$534.05
United Facility/Professional Professional Modifier Low / Median / High Price $288.55 / $341.79 / $666.19	Professional		$288.55	$341.79	$666.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.61 / $146.61 / $255.13	Professional		$146.61	$146.61	$255.13