Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.65 / $214.70 / $498.34	Professional		$166.65	$214.70	$498.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $234.23 / $395.01 / $1,419.41	Professional		$234.23	$395.01	$1,419.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.16 / $382.56 / $575.61	Professional		$230.16	$382.56	$575.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.94 / $426.99 / $561.23	Professional		$177.94	$426.99	$561.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $152.84 / $361.59	Professional		$31.39	$152.84	$361.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $351.98 / $351.98	Professional		$351.98	$351.98	$351.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.33 / $379.69 / $464.90	Professional		$256.33	$379.69	$464.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.23 / $347.77 / $470.89	Professional		$234.23	$347.77	$470.89
United Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $190.61 / $474.06	Professional		$154.30	$190.61	$474.06