Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $135.78 / $305.88	Professional		$100.49	$135.78	$305.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $205.17	Professional		$105.13	$105.13	$205.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $242.51 / $874.58	Professional		$144.13	$242.51	$874.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $195.15 / $311.73	Professional		$114.47	$195.15	$311.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $179.40 / $280.14	Professional		$103.88	$179.40	$280.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $164.11 / $278.44	Professional		$27.61	$164.11	$278.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $230.88 / $283.47	Professional		$146.88	$230.88	$283.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $199.29 / $259.80	Professional		$144.13	$199.29	$259.80
United Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $172.15 / $292.79	Professional		$108.74	$172.15	$292.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $110.90 / $110.90	Professional		$78.95	$110.90	$110.90