Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $199.29 / $427.70	Professional		$135.94	$199.29	$427.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $285.14 / $1,760.08	Professional		$164.47	$285.14	$1,760.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.56 / $277.56 / $446.64	Professional		$157.56	$277.56	$446.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $236.75 / $411.19	Professional		$158.69	$236.75	$411.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $141.88 / $306.95	Professional		$29.91	$141.88	$306.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $275.45 / $343.65	Professional		$187.31	$275.45	$343.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $233.23 / $331.80	Professional		$164.47	$233.23	$331.80
United Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $255.24 / $387.33	Professional		$167.16	$255.24	$387.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $146.37 / $146.37	Professional		$105.74	$146.37	$146.37