Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $88.60 / $233.93	Professional		$58.92	$88.60	$233.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $159.84 / $851.03	Professional		$95.04	$159.84	$851.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $107.36 / $248.85	Professional		$74.51	$107.36	$248.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $111.69 / $227.16	Professional		$72.23	$111.69	$227.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $198.63 / $353.18	Professional		$37.49	$198.63	$353.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $188.34 / $251.79	Professional		$135.60	$188.34	$251.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $104.03 / $174.72	Professional		$98.59	$104.03	$174.72
United Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $92.75 / $247.49	Professional		$79.70	$92.75	$247.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $113.44 / $113.44	Professional		$102.67	$113.44	$113.44