Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $160.47 / $315.57	Professional		$123.96	$160.47	$315.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.76 / $299.63 / $1,156.83	Professional		$170.76	$299.63	$1,156.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $251.45 / $367.75	Professional		$155.19	$251.45	$367.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $234.03 / $313.04	Professional		$30.14	$234.03	$313.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $164.19 / $270.19	Professional		$25.91	$164.19	$270.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $17.84	Professional		$16.05	$16.05	$17.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.76 / $276.70 / $340.24	Professional		$170.76	$276.70	$340.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $238.64 / $321.44	Professional		$165.40	$238.64	$321.44
United Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $238.74 / $348.54	Professional		$154.43	$238.74	$348.54