Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $42.90 / $164.00	Professional		$34.08	$42.90	$164.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $46.77 / $68.13	Professional		$37.77	$46.77	$68.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $76.00 / $314.92	Professional		$46.13	$76.00	$314.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $64.98 / $109.82	Professional		$35.39	$64.98	$109.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $54.50 / $89.44	Professional		$30.35	$54.50	$89.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $54.73 / $92.98	Professional		$9.16	$54.73	$92.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $76.84 / $96.15	Professional		$49.82	$76.84	$96.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $66.20 / $83.83	Professional		$45.28	$66.20	$83.83
United Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $55.00 / $95.96	Professional		$33.72	$55.00	$95.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $41.29 / $41.29	Professional		$29.81	$41.29	$41.29