Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $97.67 / $156.04	Professional		$74.98	$97.67	$156.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $96.30 / $96.30	Professional		$96.30	$96.30	$96.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $207.21 / $649.50	Professional		$109.03	$207.21	$649.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $140.19 / $250.11	Professional		$79.08	$140.19	$250.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $123.89 / $219.52	Professional		$79.94	$123.89	$219.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $154.41 / $272.69	Professional		$26.42	$154.41	$272.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $186.94 / $235.49	Professional		$120.65	$186.94	$235.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $156.19 / $210.18	Professional		$109.03	$156.19	$210.18
United Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $136.16 / $263.87	Professional		$86.37	$136.16	$263.87