Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $103.19 / $351.00	Professional		$72.58	$103.19	$351.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $66.80 / $92.38	Professional		$54.10	$66.80	$92.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $171.78 / $625.42	Professional		$102.46	$171.78	$625.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $138.55 / $223.35	Professional		$71.53	$138.55	$223.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $130.86 / $194.80	Professional		$70.98	$130.86	$194.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $109.44 / $185.62	Professional		$18.41	$109.44	$185.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $166.41 / $204.68	Professional		$105.90	$166.41	$204.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $143.35 / $186.19	Professional		$103.95	$143.35	$186.19
United Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $119.47 / $211.41	Professional		$77.72	$119.47	$211.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $79.22 / $79.22	Professional		$56.59	$79.22	$79.22