Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $139.41 / $274.70	Professional		$113.45	$139.41	$274.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $274.10 / $1,030.88	Professional		$167.24	$274.10	$1,030.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $217.19 / $367.06	Professional		$121.79	$217.19	$367.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $196.07 / $304.41	Professional		$107.24	$196.07	$304.41
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 $170.25 / $269.08 / $330.87	Professional		$170.25	$269.08	$330.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $231.79 / $305.70	Professional		$167.24	$231.79	$305.70
United Facility/Professional Professional Modifier Low / Median / High Price $125.73 / $182.23 / $336.00	Professional		$125.73	$182.23	$336.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $130.29 / $130.29	Professional		$92.48	$130.29	$130.29