Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $136.07 / $253.39	Professional		$103.60	$136.07	$253.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $271.93 / $1,045.05	Professional		$158.47	$271.93	$1,045.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $220.62 / $377.95	Professional		$116.62	$220.62	$377.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $168.51 / $320.67	Professional		$99.42	$168.51	$320.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $118.92 / $232.98	Professional		$23.42	$118.92	$232.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.28 / $287.14 / $351.50	Professional		$185.28	$287.14	$351.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.96 / $240.61 / $333.20	Professional		$188.96	$240.61	$333.20
United Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $217.67 / $387.60	Professional		$134.74	$217.67	$387.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $119.55 / $135.16	Professional		$99.39	$119.55	$135.16