Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $129.69 / $248.30	Professional		$97.08	$129.69	$248.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.81 / $233.74 / $914.33	Professional		$128.81	$233.74	$914.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $227.01 / $345.98	Professional		$117.50	$227.01	$345.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $146.25 / $266.05	Professional		$92.26	$146.25	$266.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $156.88 / $274.13	Professional		$28.08	$156.88	$274.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $243.95 / $296.89	Professional		$154.38	$243.95	$296.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $212.05 / $285.41	Professional		$151.54	$212.05	$285.41
United Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $170.64 / $312.83	Professional		$121.93	$170.64	$312.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $103.20 / $111.01	Professional		$87.51	$103.20	$111.01