Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $56.46 / $130.40	Professional		$48.85	$56.46	$130.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $124.79 / $479.63	Professional		$73.39	$124.79	$479.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $92.65 / $173.38	Professional		$56.06	$92.65	$173.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $78.98 / $132.69	Professional		$49.56	$78.98	$132.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.99 / $106.40 / $186.66	Professional		$18.99	$106.40	$186.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $49.66 / $77.98 / $77.98	Professional		$49.66	$77.98	$77.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $124.79 / $152.38	Professional		$78.77	$124.79	$152.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $105.30 / $138.57	Professional		$74.84	$105.30	$138.57
United Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $83.74 / $155.81	Professional		$54.61	$83.74	$155.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $62.96 / $62.96	Professional		$46.38	$62.96	$62.96