Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $72.26 / $248.05	Professional		$50.61	$72.26	$248.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $96.07	Professional		$45.79	$45.79	$96.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $103.48 / $980.40	Professional		$62.37	$103.48	$980.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $95.22 / $158.63	Professional		$53.31	$95.22	$158.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $75.15 / $135.83	Professional		$51.15	$75.15	$135.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $50.66 / $90.97	Professional		$9.59	$50.66	$90.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $101.77 / $125.18	Professional		$70.11	$101.77	$125.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $85.55 / $117.00	Professional		$62.37	$85.55	$117.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $83.84 / $129.47	Professional		$55.02	$83.84	$129.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $51.93 / $51.93	Professional		$38.10	$51.93	$51.93