Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $124.84 / $202.69	Professional		$67.75	$124.84	$202.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $184.46 / $821.86	Professional		$99.72	$184.46	$821.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $148.87 / $248.74	Professional		$91.70	$148.87	$248.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $168.36 / $282.32	Professional		$96.04	$168.36	$282.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $71.35 / $159.12	Professional		$14.74	$71.35	$159.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $164.09 / $199.80	Professional		$108.26	$164.09	$199.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $139.04 / $188.51	Professional		$95.63	$139.04	$188.51
United Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $146.65 / $212.99	Professional		$87.36	$146.65	$212.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.27 / $80.27 / $80.27	Professional		$80.27	$80.27	$80.27