Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $161.30 / $325.85	Professional		$128.01	$161.30	$325.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $108.26 / $108.26	Professional		$108.26	$108.26	$108.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $186.18 / $307.61 / $1,086.15	Professional		$186.18	$307.61	$1,086.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $253.63 / $386.94	Professional		$146.66	$253.63	$386.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $241.36 / $356.63	Professional		$130.19	$241.36	$356.63
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 $185.81 / $287.93 / $354.14	Professional		$185.81	$287.93	$354.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $249.61 / $329.41	Professional		$189.88	$249.61	$329.41
United Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $225.62 / $393.29	Professional		$144.69	$225.62	$393.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $137.38 / $137.38	Professional		$97.45	$137.38	$137.38