Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $88.57 / $215.64	Professional		$52.56	$88.57	$215.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $81.79 / $215.40	Professional		$73.31	$81.79	$215.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $204.23 / $787.05	Professional		$112.27	$204.23	$787.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $173.69 / $290.76	Professional		$101.20	$173.69	$290.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $152.69 / $234.93	Professional		$81.22	$152.69	$234.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $158.94 / $269.96	Professional		$26.99	$158.94	$269.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $199.41 / $242.20	Professional		$133.00	$199.41	$242.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $175.52 / $239.82	Professional		$112.27	$175.52	$239.82
United Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $105.18 / $223.48	Professional		$78.45	$105.18	$223.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $107.30 / $107.30	Professional		$107.30	$107.30	$107.30