Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $118.63 / $433.00	Professional		$77.95	$118.63	$433.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $100.85 / $130.11	Professional		$100.85	$100.85	$130.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $170.24 / $1,554.00	Professional		$103.03	$170.24	$1,554.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $156.37 / $251.05	Professional		$90.58	$156.37	$251.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $129.81 / $237.62	Professional		$88.76	$129.81	$237.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $101.33 / $181.95	Professional		$19.20	$101.33	$181.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $164.59 / $201.48	Professional		$111.86	$164.59	$201.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $138.59 / $191.27	Professional		$103.03	$138.59	$191.27
United Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $154.34 / $237.11	Professional		$100.23	$154.34	$237.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $80.68 / $80.68	Professional		$58.25	$80.68	$80.68