Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $26.46 / $92.00	Professional		$19.71	$26.46	$92.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $39.65 / $72.04	Professional		$24.82	$39.65	$72.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $53.20 / $440.00	Professional		$28.50	$53.20	$440.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $89.62 / $129.28	Professional		$34.14	$89.62	$129.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $38.22 / $66.20	Professional		$23.80	$38.22	$66.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $54.21 / $96.91	Professional		$9.71	$54.21	$96.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $49.43 / $64.84	Professional		$36.04	$49.43	$64.84
United Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $40.70 / $72.16	Professional		$25.14	$40.70	$72.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $29.08 / $29.08	Professional		$20.43	$29.08	$29.08