Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $221.84 / $570.29	Professional		$115.56	$221.84	$570.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $444.03 / $1,692.80	Professional		$186.42	$444.03	$1,692.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $311.60 / $643.52	Professional		$159.72	$311.60	$643.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $286.01 / $561.84	Professional		$160.31	$286.01	$561.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $181.46 / $477.16	Professional		$37.44	$181.46	$477.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $326.00 / $596.02	Professional		$198.78	$326.00	$596.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.38 / $331.20 / $530.19	Professional		$193.38	$331.20	$530.19
United Facility/Professional Professional Modifier Low / Median / High Price $238.76 / $370.17 / $698.04	Professional		$238.76	$370.17	$698.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $188.28 / $259.85	Professional		$132.00	$188.28	$259.85