Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $61.28 / $111.77	Professional		$41.49	$61.28	$111.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $123.27 / $498.98	Professional		$51.41	$123.27	$498.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $78.04 / $176.37	Professional		$42.80	$78.04	$176.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $73.25 / $137.36	Professional		$43.71	$73.25	$137.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $107.85 / $188.59	Professional		$17.76	$107.85	$188.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $128.21 / $155.11	Professional		$85.41	$128.21	$155.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $57.02 / $107.97	Professional		$51.41	$57.02	$107.97
United Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $71.84 / $136.61	Professional		$47.20	$71.84	$136.61