Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $186.40 / $568.00	Professional		$130.41	$186.40	$568.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $136.32 / $223.30	Professional		$114.74	$136.32	$223.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $187.11 / $308.72 / $1,131.00	Professional		$187.11	$308.72	$1,131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $252.51 / $403.46	Professional		$147.80	$252.51	$403.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $232.87 / $370.42	Professional		$136.00	$232.87	$370.42
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 $190.32 / $299.70 / $369.38	Professional		$190.32	$299.70	$369.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.11 / $258.22 / $336.01	Professional		$187.11	$258.22	$336.01
United Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $224.95 / $385.11	Professional		$142.55	$224.95	$385.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $143.30 / $143.30	Professional		$101.87	$143.30	$143.30