Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $123.55 / $255.39	Professional		$92.32	$123.55	$255.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $253.08 / $922.64	Professional		$128.36	$253.08	$922.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $188.36 / $327.74	Professional		$116.42	$188.36	$327.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $207.20 / $316.83	Professional		$130.41	$207.20	$316.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $149.78 / $265.74	Professional		$27.16	$149.78	$265.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $219.68 / $310.79	Professional		$131.24	$219.68	$310.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $183.42 / $292.27	Professional		$122.89	$183.42	$292.27
United Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $175.21 / $353.40	Professional		$151.37	$175.21	$353.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $136.15	Professional		$101.03	$101.03	$136.15