Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $77.14 / $181.75	Professional		$57.76	$77.14	$181.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $172.94 / $689.33	Professional		$87.32	$172.94	$689.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $121.73 / $248.08	Professional		$65.84	$121.73	$248.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $105.56 / $179.50	Professional		$63.24	$105.56	$179.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $107.03 / $196.63	Professional		$18.96	$107.03	$196.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $163.72 / $223.12	Professional		$112.43	$163.72	$223.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $139.53 / $193.18	Professional		$87.32	$139.53	$193.18
United Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $101.52 / $206.11	Professional		$65.81	$101.52	$206.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $101.02 / $101.02	Professional		$72.59	$101.02	$101.02