Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $41.89 / $250.98	Professional		$28.91	$41.89	$250.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $35.50 / $55.44	Professional		$27.87	$35.50	$55.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $64.45 / $336.41	Professional		$39.72	$64.45	$336.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $53.67 / $85.75	Professional		$31.69	$53.67	$85.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $51.08 / $81.09	Professional		$29.12	$51.08	$81.09
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 $40.99 / $63.92 / $78.50	Professional		$40.99	$63.92	$78.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $55.24 / $71.88	Professional		$39.72	$55.24	$71.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $49.40 / $81.12	Professional		$30.92	$49.40	$81.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $29.97 / $29.97	Professional		$21.81	$29.97	$29.97