Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.38 / $53.73	Professional		$14.40	$19.38	$53.73
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.46 / $17.46 / $42.62	Professional	CQ	$17.46	$17.46	$42.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $36.60 / $257.33	Professional		$23.74	$36.60	$257.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $58.00 / $95.98	Professional		$27.33	$58.00	$95.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $35.26 / $71.65	Professional		$24.64	$35.26	$71.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $50.46 / $90.97	Professional		$9.46	$50.46	$90.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $40.36 / $71.65	Professional		$16.00	$40.36	$71.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $31.25 / $52.03	Professional		$29.52	$31.25	$52.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $29.95 / $79.03	Professional		$25.30	$29.95	$79.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $34.18 / $34.18	Professional		$30.50	$34.18	$34.18