Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $147.58 / $305.31	Professional		$88.87	$147.58	$305.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $239.75 / $929.60	Professional		$137.71	$239.75	$929.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $184.55 / $354.60	Professional		$103.20	$184.55	$354.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $172.32 / $280.52	Professional		$102.06	$172.32	$280.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $151.02 / $268.41	Professional		$27.75	$151.02	$268.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $202.27 / $293.13	Professional		$133.44	$202.27	$293.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $189.65 / $273.67	Professional		$126.19	$189.65	$273.67
United Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $188.50 / $328.70	Professional		$139.00	$188.50	$328.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.58 / $106.56 / $142.72	Professional		$94.58	$106.56	$142.72