Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $39.70 / $134.97	Professional		$30.02	$39.70	$134.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.32 / $15.01 / $34.89	Professional	52	$10.32	$15.01	$34.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $36.18	Professional		$33.47	$33.47	$36.18
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.05 / $9.05 / $9.05	Professional	52	$9.05	$9.05	$9.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $50.04 / $305.91	Professional		$26.31	$50.04	$305.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $77.31 / $93.08	Professional		$53.73	$77.31	$93.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $39.02 / $67.76	Professional		$26.32	$39.02	$67.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $50.55 / $90.97	Professional		$9.60	$50.55	$90.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $25.14 / $25.14	Professional		$25.14	$25.14	$25.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $35.29 / $49.40	Professional		$26.31	$35.29	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $41.75 / $64.00	Professional		$29.25	$41.75	$64.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $21.19 / $31.00	Professional		$21.19	$21.19	$31.00