Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $40.00 / $75.20	Professional		$28.10	$40.00	$75.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.32 / $20.00 / $29.83	Professional	52	$15.32	$20.00	$29.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $75.58 / $87.39	Professional		$40.29	$75.58	$87.39
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $14.17 / $14.17 / $14.17	Professional	52	$14.17	$14.17	$14.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $80.72 / $333.08	Professional		$34.15	$80.72	$333.08
Asuris Northwest Health Facility/Professional Professional Modifier 52 Low / Median / High Price $25.43 / $25.43 / $25.43	Professional	52	$25.43	$25.43	$25.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $49.48 / $117.48	Professional		$25.31	$49.48	$117.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $45.95 / $89.92	Professional		$28.21	$45.95	$89.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $52.83 / $93.85	Professional		$8.91	$52.83	$93.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $83.25 / $103.41	Professional		$56.94	$83.25	$103.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $37.36 / $70.65	Professional		$34.15	$37.36	$70.65
United Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $48.06 / $96.64	Professional		$31.38	$48.06	$96.64