Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $61.79 / $101.79	Professional		$48.89	$61.79	$101.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.12 / $30.90 / $52.55	Professional	52	$20.12	$30.90	$52.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $50.66 / $50.66	Professional		$50.66	$50.66	$50.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $94.75 / $542.50	Professional		$48.90	$94.75	$542.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $150.33 / $181.00	Professional		$104.47	$150.33	$181.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $59.14 / $109.39	Professional		$37.76	$59.14	$109.39
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 $48.90 / $48.90 / $48.90	Professional		$48.90	$48.90	$48.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $68.51 / $94.75	Professional		$51.67	$68.51	$94.75
United Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $68.83 / $115.57	Professional		$43.86	$68.83	$115.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $45.00	Professional		$40.53	$40.53	$45.00