Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $200.50 / $504.00	Professional		$127.46	$200.50	$504.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $280.70 / $1,070.78	Professional		$167.72	$280.70	$1,070.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $228.44 / $433.76	Professional		$133.47	$228.44	$433.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $166.38 / $311.69	Professional		$108.15	$166.38	$311.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $205.34 / $363.91	Professional		$37.93	$205.34	$363.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $284.06 / $349.38	Professional		$192.97	$284.06	$349.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.60 / $237.40 / $317.82	Professional		$177.60	$237.40	$317.82
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $211.20 / $375.57	Professional		$146.40	$211.20	$375.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $139.86 / $139.86	Professional		$98.00	$139.86	$139.86