Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $74.80 / $405.28	Professional		$38.45	$74.80	$405.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $456.35 / $1,954.50	Professional		$135.09	$456.35	$1,954.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.83 / $550.29 / $974.66	Professional		$243.83	$550.29	$974.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $118.30 / $309.54	Professional		$72.95	$118.30	$309.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $156.87 / $360.35	Professional		$128.34	$156.87	$360.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $447.06 / $608.66	Professional		$149.66	$447.06	$608.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $251.28 / $521.03	Professional		$113.37	$251.28	$521.03
United Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $75.20 / $688.11	Professional		$49.38	$75.20	$688.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $276.12 / $276.12	Professional		$163.80	$276.12	$276.12