Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $82.46 / $170.42	Professional		$49.18	$82.46	$170.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $147.49 / $1,687.42	Professional		$83.14	$147.49	$1,687.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $117.88 / $236.59	Professional		$62.11	$117.88	$236.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $107.30 / $190.69	Professional		$60.03	$107.30	$190.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $151.29 / $268.52	Professional		$27.11	$151.29	$268.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $129.01 / $206.71	Professional		$84.16	$129.01	$206.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $122.33 / $197.22	Professional		$81.13	$122.33	$197.22
United Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $136.40 / $239.44	Professional		$88.14	$136.40	$239.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $71.78 / $97.15	Professional		$56.51	$71.78	$97.15