Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $289.20 / $495.91	Professional		$207.34	$289.20	$495.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.69 / $312.69 / $338.04	Professional		$312.69	$312.69	$338.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $252.71 / $407.66 / $1,722.48	Professional		$252.71	$407.66	$1,722.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.44 / $375.17 / $613.00	Professional		$212.44	$375.17	$613.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $299.26 / $546.97	Professional		$203.67	$299.26	$546.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $253.88 / $449.44	Professional		$47.68	$253.88	$449.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.76 / $400.21 / $492.08	Professional		$274.76	$400.21	$492.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $252.71 / $336.16 / $454.65	Professional		$252.71	$336.16	$454.65
United Facility/Professional Professional Modifier Low / Median / High Price $228.94 / $367.50 / $557.39	Professional		$228.94	$367.50	$557.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $195.83 / $195.83	Professional		$139.41	$195.83	$195.83