Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $101.20 / $354.00	Professional		$67.51	$101.20	$354.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.10 / $50.60 / $105.30	Professional	52	$39.10	$50.60	$105.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $119.74 / $151.05	Professional		$72.56	$119.74	$151.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $157.07 / $1,420.00	Professional		$96.56	$157.07	$1,420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $144.57 / $246.74	Professional		$79.25	$144.57	$246.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $109.18 / $199.06	Professional		$71.05	$109.18	$199.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $102.36 / $178.26	Professional		$18.73	$102.36	$178.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $157.13 / $195.93	Professional		$107.89	$157.13	$195.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $132.72 / $178.16	Professional		$96.56	$132.72	$178.16
United Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $130.36 / $198.00	Professional		$86.00	$130.36	$198.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $81.65 / $81.65	Professional		$60.46	$81.65	$81.65